CT
Along the inferior anterior aspect of the left adrenal gland, there is a large heterogeneous mass, with areas of necrosis involving approximately 50% of the mass. There are no calcifications. The mass abuts adjacent structures, including the splenic vein, anterior upper left kidney, spleen, left renal vein and artery, left crus of the diaphragm, and tail of the pancreas. No invasion of these structures is seen. No tumor in the left renal vein or IVC is seen.
Right L5 transverse process lytic lesion with extra-osseous soft tissue components, likely metastatic.