Name: xxxx DOB: 01/03/1942
Indication: ADRENAL PROTOCOL - ADRENAL ADENOMA, Term Loc: CDREC1
PLS C/W PRIOR U/S
Report Status: Final Exam date: 06/18/12
Location: OUTPAW Exam Code: C05250
ACCT# xxxxx Exam: CT ABDOMEN W/O IV CONTRAST
Limited CT of the ABDOMEN without contrast: Jun 18, 2012 10:39 AM
CLINICAL INDICATION: 70-year-old male with right suprarenal mass on prior ultrsounds for followup. ADRENAL PROTOCOL-ADRENAL ADENOMA, PLS C/W PRIOR U/S
COMPARISON: Prior ultrasounds including 05/11/2011 and 09/23/2008.
TECHNIQUE: 5 mm unenhanced helical images were obtained through the adrenal glands. Total Exam DLP: 276.78 mGy-cm. CTDIvol 15.93 mGy.
Lack of IV contrast limits evaluation of the solid viscera.
There is a trace pericardial effusion. No mass or consolidation is identified in the visualized lungs.
A 2.1 cm cyst is present in the lateral left hepatic lobe. A 2 cm bilobed cyst is present within the inferior lateral left lobe.
There are additional subcentimeter hypoattenuating lesions in the visualized liver too small to characterize however possibily cysts. No focal abnormality is identified in the visualized spleen.
The visualized gallbladder is normal in caliber. High density in the lumen is compatible with viscous bile or sludge. The visualized pancreas is unremarkable without focal mass or pancreatic ductal dilatiation. No peripancreatic fat stranding or fluid collection is seen. There is no obvious biliary ductal dilatation.
The adrenal glands are normal in size. Arising from the lateral limb of the right adrenal gland is a smoothly marginated round mass measuring 1.6 x 1.7 cm image 4 series 2, corresponding to the mass noted on the previous ultrasounds. By central Hounsfield units of 14, the mass is equivocal for an adenoma. However the mass is stable.
The kidneys are symmetric is size w2itrhout hydronephrosis. No urinary tract calculi are identified. There is a gracile accessory left renal artery supplying the upper pole.
No free fluid or adenopathy is identified in the visualized abdomen.
Bony structures are unremarkable.
IMPRESSIONS:
1. Right adrenal gland mass corresponding to that noted on the prior ultrasounds most likely an adenoma.
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