What is so big?

an adrenal mass. the spleen appears normoechoic, well defined adrenal with anechoic zones and a hyperechoic foci

I want to say left lobe of pancreas, it is really big and transverse colon also covering mass..and i think spleen is with good shape and echojenity.

Left lobe of pancreas has to be rhere🤔

The mass doesn't seem to be attached to spleen. Spleen seems normal. Renal mass is also ruled out. It is not in the area of the adrenal gland so adrenal gland tumor is also ruled out. The only thing left in that region is intestines or mesentery. Intestine is not in view, so probably from mesenteric origin

Abscess o calcificated area in a mass

Between the spleen and left kidney there appears to be a mass with a hyperechoic focal lesion in it. Adjacent to it is a hyperechoic mass surrounding hypoechoic tissue and a tiny amount of free fluid. The part of the spleen seen appears normal. The pancreas is in this area of inflammation. The mass could be within the intestines.

It seems too cranial to be adrenal. it looks more like to pancreas to me, with inhomogeneous hyperechoic surrounding fat. But I would like to clearly see left adrenal ti definitely rule out an adrenal mass

It looks like a mass at either the left lobe of the pancreas or the gastric wall at the antral junction,although the appearance is mor of splenic parenchyma.

very interesting. thank you for sharing

Intestine?

thank you !!!! very interesting