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Lucy Connor; Joanna Craig; Kerri E. Buch, RN, FNP; Celia M. Divino, MD

Arch Surg. 2009;144(3):283.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

A 43-year-old man with no significant medical history had a 3-month history of right upper quadrant pain with no associated gastrointestinal or urinary symptoms. On examination, he appeared well and was in no distress. His abdomen was not tender, but had a palpable right upper quadrant fullness. A computed tomographic (CT) scan revealed a 7.9-cm, bilobed, fat-containing mass adjacent to the upper pole of the right kidney (Figure 1). A magnetic resonance image (MRI) was performed to better assess its continuity with adjacent organ structures. It showed no hepatic or renal invasion (Figure 2).

Figure appears in full text version. Figure 1. Computed tomographic scan identifying calcifications in the right adrenal gland and a 7.9-cm bilobed mass bordered by the liver (laterally), upper pole of the right kidney (inferiorly and posteriorly), vena cava (medially), and the right colon (anteriorly).

Figure appears in full text version. . . . [Full Text of this Article]

What Is the Diagnosis?

Author Affiliations: Department of Surgery, The Mount Sinai School of Medicine, New York, New York.

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Arch Surg. 2009;144(3):284.
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