Case of the Month, June 2018 Page 2

Choices A (Involvement of the left adrenal gland) and D (Mass abutting the pancreas and small bowel).

A large suprarenal heterogenous mass is inseparable from the left adrenal gland, diaphragm and pancreas, and abuts the pancreas and small bowel. The adrenal gland has a preserved architecture. The left kidney is not definitively involved nor displaced. No retroperitoneal lymphadenopathy is identified.
Question 2

Which of the following is true based on the following images.

A. Lack of enhancement is suggestive of retroperitoneal hematoma.

B. 3-phase imaging demonstrates regions of delayed enhancement, nonspecific.

C. 3-phase imaging demonstrates rapid washout suggestive of adrenal adenoma.

D. Aggregates of low near-fat density are suggestive of myelolipoma.

Arterial, portovenous and delayed axial CT images through the same level, axial CT through the inferior portion of the mass on the bottom right.

Answer on next page >

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