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Cross-sectional CT abdomen with contrast showing right retroperitoneal mass (red arrow).
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This gentleman underwent a subsequent CT scan of the abdomen and pelvis which confirmed the presence of the large right renal mass seen on the ultrasound (Figs. 1 and 2).
Coronal CT abdomen with contrast showing the same right supra-renal mass (red arrow).
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This gentleman underwent a subsequent CT scan of the abdomen and pelvis which confirmed the presence of the large right renal mass seen on the ultrasound (Figs. 1 and 2).
Coronal MRI of the abdomen showing right supra-renal mass (red arrow).
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Following discussion at the uro-oncology multi-disciplinary team (MDT) meeting the consensus was that he should have an MRI of the abdomen which confirmed the presence of an encapsulated mass arising from the right adrenal (Fig. 3).
Right thoraco-abdominal incision showing right supra-renal mass with yellow sleeve of normal-looking adrenal tissue (black arrow).
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An elective open right adrenalectomy via a right thoraco-abdominal incision was performed (Fig. 4) and the adrenal mass excised en bloc (Fig. 5) without complication.