There is a large encapsulated mass measuring approximately 32 cm by 27 cm by 25 cm in craniocaudal, transverse and AP diameter extending from the level of the fundus of the stomach to the dome of the urinary bladder. The lesion is of fat density with diffuse groundglass opacity, multiple intemal septations and sparse punctate calciﬁcations. It is intimater related to the anterior and lateral aspect of the left kidney and displaces small bowel and colon. No enlarged abdominal, retroperitoneal, pelvic or intrathoracic modes.
There is a 4.4 cm left adrenal mass, solitary 2.7 cm segment 6 hepatic hypodensity and a 6 mm left basal pulmonary module.
Bulky fibroid uterus with IUD in position. Normal ovaries and adnexa. No ascites
Large encapsulated mass, imaging characteristics are consistent with a liposarcoma. The left adrenal and hepatic lesions are likely metastatic. 6 mm left basal pulmonary nodule is indeterminate and may also be a metastasis.