Well-defined heterogeneous lesion measuring approximately 5.5 x 5.9 cm seen between the liver and right kidney. The lesion shows high internal vascularity through a bunch of small vessels directly from the abdominal aorta with early venous filling, suggestive of underlying arterio-venous shunting. The prominent draining veins are running in a cephalad direction, connecting the lesion to the lateral limb of right adrenal gland and finally draining into the IVC. No fat or calcifications are seen in the lesion. Morphology of the left adrenal gland is within normal limits. Renal arteries, renal veins and IVC are patent and well-opacified.
Two small lesions (averaging 5 mm each) showing vivid enhancement in the arterial phase and not clearly appreciated in the rest of the phases, are seen in segment VII and high sub-capsular segment VIII of the liver; these lesions are likely flash filling hepatic hemangiomas. A non-enhancing hypodensity (likely a hepatic cyst) measuring 3 mm is noted in peripheral segment VII of the liver. Average size spleen with a few tiny peripheral hypodensities which are likely splenic cysts. Left renal partial duplex collecting system with two ureters traceable up to L4/L5 level.