Presentation
Right-sided groin pain. Presumed incidental finding.
Patient Data
Large cystic right adrenal lesion with partial mural calcification and a lobulated low density soft tissue component arising from its inferolateral aspect. No enhancement.
Right-sided moderate hydronephroureterosis secondary to 5 mm calculus in the distal ureter. 4 mm non-obstructing calculus in the right upper pole and 5 mm non-obstructing calculus in the right interpolar region. A couple of tiny non-obstructing calculi in the left upper renal pole.
Liver, gallbladder, spleen, pancreas and left adrenal are unremarkable.
No abdominopelvic nodal enlargement.
Impression:
Right adrenal cystic lesion without sinister features.
Obstructed right kidney secondary to 5 mm distal ureteric calculus.