Right adrenal mass. "Likely a pheochromocytoma." EPIC CHART: 67yo female with seizure disorder not on meds, SLE dx'ed at age 28 not on meds, recently diagnosed with right neck paraganglioma, right adrenal mass, thyroid nodule, pheochromocytoma, elevated PTH, Ca, norepinephrine, concerning for MEN2 with recurrent admissions to OSH in Joliet since October for symptomatic pheochromocytoma s/p TIAx4. Also with incidental right carotid intracranial artery aneurysm, 4mm. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: 1.2 x 0.9 cm right adrenal homogeneously T1 weighted hypointense and T2 weighted isointense nodule in the superior aspect of the medial limb of the adrenal gland demonstrates loss of signal intensity on out of phase imaging and mild isointense homogeneous enhancement.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.
1.2 cm right adrenal nodule does not have any specific imaging features of a pheochromocytoma, but rather has imaging characteristics most commonly seen with a lipid-rich adrenal adenoma; however, given the clinical history a pheochromocytoma cannot be excluded. Correlate with patient's reported MIBI scan.