History of MEN IIa syndrome. Adrenal tumors, likely pheochromocytoma. History of left adrenalectomy in 2007 showed pheochromocytoma. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology and signal intensity. No focal suspicious lesion. No biliary ductal dilatation. The vessels are patent.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: There is nodularity of the right adrenal gland, appearing similar to the prior study. The dominant nodules measures 9 and 6 mm.Status post left adrenalectomy.KIDNEYS, URETERS: Bilateral renal cortical thinning with underlying calyceal blunting compatible with reflux nephropathy, unchanged. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Stable mild nodularity of the right adrenal gland may reflect discrete adrenal nodules, too small to accurately characterize, or nodular adrenal hyperplasia. Correlate with urine metanephrine to exclude pheochromocytomas. No new sites of disease.2.Changes of reflux nephropathy bilaterally are unchanged.