Pediatric kidneys ultrasound - Lesion in the projection of the adrenal gland

A 15-year-old teenager was sent for an ultrasound scan of the kidneys.
In the projection above the upper pole of the left kidney, an oval-shaped solid lesion is visualized, with blood flow on CFM, up to 23x13 mm in size, moving separately from the spleen during respiration (differential diagnosis: adrenal gland lesion, accessory spleen, etc.).
MRI recommended.
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