Left adrenal pike-shaped isodense nodule, the specific treatment plan should be formulated after determining the cause of the disease, the main causes of clinical changes include adrenal adenoma, metastasis, hematoma, etc. The specific treatment plan mainly includes surgical resection, radiotherapy and conservative treatment. 1. Adrenal adenomas: adrenal adenomas will be manifested as isodense nodules, small adenomas with no symptoms can be observed regularly without treatment; functional adenomas or adenomas that are relatively large and cause pressure on the surrounding tissues can be surgically removed. 2. Metastasis: adrenal gland is a good location for tumor metastasis, and there will be corresponding changes after metastasis, especially lung cancer metastasis is common, and metastasis indicates that the tumor has entered into the advanced stage, which needs to be controlled by auxiliary radiotherapy and chemotherapy. 3. Hematoma: after trauma, adrenal hematoma will have corresponding changes during the absorption period, usually there is no persistent symptom, no need to intervene too much, most of them will be absorbed on their own, and only need to be observed regularly. The discovery of the left adrenal pike-shaped isodensity nodules need to consult a doctor in a timely manner, under the guidance of the clinician standardized treatment.