Adrenal cavernous hemangioma: is presurgical diagnosis with imaging test possible.

Objective: To describe a case of adrenal cavernous hemangioma in a 67 year old man who presented left lumbar pain.

Methods: Abdominal ultrasound, contrast enhanced ultrasound of the lesion, abdominal-pelvic CT scan, and then left adrenalectomy and pathology were performed

Results: Imaging studies showed a large solid-cystic mass with 12 × 11 cm diameters in the left adrenal gland, well defined, with calcifications, which showed peripheral arterial globular contrast enhancement on CT and ultrasound. The lesion displaced neighboring structures without other findings in the abdominopelvic study.