Splenic and adrenal metastases
Metastatic cancer - unknown primary.
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Bilateral adrenal masses are compatible with metastases. Splenic metastases are also noted. A lucent lesion in the left iliac bone is taken to represent a metastasis.
The liver, gallbladder, pancreas and kidneys enhance normally. Uncomplicated sigmoid diverticulosis is noted.
Splenic metastases are rare, compared to hepatic metastases.