Large right adrenal mass lesion. This lesion is relatively well demarcated and abuts the posterior margin of the IVC, medial margin of the liver and lateral margin of right hemidiaphragm crura. There is no evidence of local invasion.
The more prominently enhancing posterosuperior component measures 29 HU on non-contrast, 84 HU on portal venous and 43 HU on delayed phase - calculating to 74% absolute washout and 49% relative washout. The anterior component has less prominent enhancement and measures 35 HU on non-contrast, 59 HU on portal venous and 43 HU on delayed - calculating to 66% absolute washout and 27% relative washout.
Normal left adrenal gland. No hepatic mass. No lymphadenopathy.