This 71 y/o male was referred to CT for evaluation of abdominal pain. He was in excellent health. His past medical history was unremarkable except for removal of a colon polyp more than 10 years prior to this exam. Selected images from his CT shown above demonstrate a right adrenal mass with some punctate calcifications. CT guided biopsy was consistent with a colorectal carcinoma metastasis. Additional evaluation did not reveal a primary source. This is presumed to be a late metastasis from the prior polyp although the prior pathology was not available for review.