Figure 4. Contrast enhanced axial SPGR (spoiled gradient recalled acquisition in the steady state) T₁ weighted MR scan with fat saturation, shows a filling defect that extends from the upper pole of the right adrenal gland into the inferior vena cava (curved arrow), following the expected course of the right adrenal vein. The lesion was of low signal intensity on both T₁ weighted and T₂ weighted sequences consistent with deoxyhaemoglobin.