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Fig. 3C. —84-year-old man with adrenal adenoma that was characterized using chemical shift MRI but not with unenhanced CT. Axial opposed-phase MR image shows that mass is isointense–hypointense with respect to spleen. For this lesion, adrenal-to-spleen chemical shift ratio and signal-intensity index were 0.32 and 68%, respectively. Qualitative analysis identified signal loss on opposed-phase image. This mass has been stable for 5 years and is consistent with lipid-rich adrenal adenoma.