Case 31
Clinical Presentation
A 43-year-old man with vague abdominal pain.
Contrast-enhanced axial computed tomography image is at the level of the adrenal glands. Arising from the lateral limb of the left adrenal gland is an ~3-cm-diameter mass (short arrow) that is predominantly solid and homogeneous, with well-defined margins. No stranding is seen around the mass. Within the mass, there is an area of low attenuation (arrowhead) resembling that of the subcutaneous adipose tissue. The attenuation value has been measured at –72 Hounsfield units, which is consistent with fat. Incidental note is made of a cystic structure (long arrow) posterolateral to the mass, which is a simple renal cyst arising from the upper pole of the left kidney.
Differential Diagnosis