The left adrenal gland comprised a mass that measured 2.2 x 1.12 cm. Capsular expansion was noted at the caudal pole with pericapsular inflammatory pattern. It appeared significantly vascular with a trace amount of free fluid noted adjacent to it. This suggests a fairly aggressive process, but there was no evidence of vascular invasion noted. The right adrenal gland was uniform and measured 0.72 x 0.32 cm. Lymph node enlargement was noted in the epigastric region and measured 1.02 x 0.82 cm. A separate lymph node medial to the spleen was also enlarged, measuring 1 x 0.82 cm.