July 2009

Submitted by David Ishimitsu, MD, and Rola Saouaf, MD.

History:

History: 44-year-old Armenian woman presents to the ED with flank pain. Non-contrast CT of the abdomen and pelvis was obtained for evaluation of renal calculi.

Question: Considerations for the origin of the multicystic left upper quadrant mass include?

• Spleen
  
• Kidney
• Adrenal gland
• Stomach
• All of the above

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