Unusual Symptoms


Procedure Ultrasound September 23, 2008


California Pacific Medical Center - San Francisco, California
Radiology Consultation Report

Ultrasound Examination of Retroperitoneum - Sep 23, 2008 9:54AM


MEDICAL HISTORY: r adrenal mass on ct and us at ucsf


COMPARISON: None


FINDINGS: The right kidney measures 11.0 cm and the left kidney measures 10.7 cm. Renal cortical thickness is normal bilaterally. Renal parenchymal echogenicity is normal bilaterally. No focal renal parenchymal abnormality is present.


A solid somewhat hypoechoic mass is present in the right adrenal fossa which measures 1.4 x 1.2 x 1.3 cm.


The renal calyces, infundibulae and pelvis are normal appearing bilaterally and there is no evidence of a renal calculus, collecting system mass, or hydronephrosis. There is no evidence of urateral dilatation in those portions of the ureters visualized on the examination.


The urinary bladder is normal. Prostate gland is moderately enlarged and contains calcifications. Prostate volume 85 cc.


The abdominal aorta is normal. The inferior vena cava is normal. The proximal iliac arteries are normal.


IMPRESSION: 1.4 x 1.2 x 1.3 cm hypoechoic solid mass in the right adrenal fossa. The most common etiology for such a mass would be a nonfunctioning adreanal adenoma. Comparison with the prior outside CT examination would be useful.


Moderate enlargement or prostate gland.


Otherwise normal ultrasound examination of the kidneys, ureters, and bladder.


Normal abdominal aorta,m proximal iliac arteries, and inferior vena cava.