Do you recommend surgery for large (>4 cm) high density (>20HU) non-secretory adrenal masses, that have been stable in size for long periods of time (>3 years) when reviewing prior imaging?
Patient is 71 years old and with cardiac comorbidities. Tumor is 6 cm but has been 6 cm since at least 2020. Noncontrast density was ~40 HU.