Abdominal mass/nodule

abdominal Sonography: an accidental spleen nodule (1cm)
=>to confirm the finding
Repeat abdominal sonography

Abdominal sonography: a hetrogenous hypoechoic mass (8*9 cm) at left upper abdominal area, between the spleen and the pancreas, associated with increased vascularity.
=>to determine the nature of the mass, to rule out malignancy
abdominal CT
CEA, AFP level
Abdominal sonography: fatty liver
=>to determine the liver function
ALT AST level

Abdominal CT: a 9cm heterogenous enhancing space-occupying lesion in left upper abdomen, between teh spleen, pancreatic body, and left adrenal gland. No enlarged lymph nodes were noted.
=>to determine the nature of the mass, possible primary adrenal tumor