Reason: Left side liver / L kidney lesion/ cystic on US. ABDOMEN:LIVER, BILIARY TRACT: The liver demonstrates normal signal intensity and enhancement without focal hepatic lesions. There is no intra or extrahepatic biliary ductal dilatation, common duct is upper normal, measuring 7 mm. The gallbladder is normal in appearance.SPLEEN: No significant abnormality noted.PANCREAS: No focal pancreatic mass is identified. The main pancreatic duct is not dilated.ADRENAL GLANDS: There is a lobulated, predominantly cystic mass extending from the lateral limb of the left adrenal gland, which demonstrates internal septations and peripheral T2 hypointensity, which is suggestive of calcification. Additionally, there is nodular peripheral enhancement of the lesion. The mass directly abuts the pancreas, but it is favored to be separate.The right adrenal gland is normal. KIDNEYS, URETERS: No significant abnormality noted.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.
Predominantly cystic mass with enhancing rim and peripheral calcification favored to extend from the left adrenal gland. Differential consideration includes cystic pheochromocytoma and other cystic adrenal neoplasms.