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Adrenal adenoma

Case contributed by Frank Gaillard , 26 Sep 2010
Diagnosis almost certain
Changed by Ayush Goel, 17 Jun 2015

Updates to Case Attributes

Age was set to 60 yrs.
Gender was set to Female.
Body was changed:

CT demonstrates a small right sided adrenal mass tucked in between the IVC, kidney, liver and vertebral column. It is well circumscribed and of low density on pre-contrast imaging (6HU). Following administration of contrast if enhances to a maximum of 60HU during portal venous phase, and then washes out to 27HU on delayed imaging. 

MRI confirms the abnormality and also confirms signal drop out on out of phase T1 imaging. 

Features are characteristic of an adrenal adenoma on both CT and MRI.

Case courtesy of Dr Laura Jimenez Juan.

  • -<p>CT demonstrates a small right sided <a href="/articles/adrenal-lesions" title="Unilateral adrenal mass">adrenal mass</a> tucked in between the IVC, kidney, liver and vertebral column. It is well circumscribed and of low density on pre-contrast imaging (6HU). Following administration of contrast if enhances to a maximum of 60HU during portal venous phase, and then washes out to 27HU on delayed imaging.&#160;</p><p>MRI confirms the abnormality and also confirms signal drop out on out of phase T1 imaging.&#160;</p><p>Features are characteristic of an <a href="/articles/adrenal_adenoma" title="Adrenal adenoma">adrenal adenoma</a> on both CT and MRI.&#160;</p><p>Case courtesy of Dr Laura Jimenez Juan.</p>
  • +<p>Features are characteristic of an <a href="/articles/adrenal-adenoma">adrenal adenoma</a> on both CT and MRI. </p><p>Case courtesy of Dr Laura Jimenez Juan.</p>

Updates to Study Attributes

Findings was added:

MRI confirms the abnormality and also confirms signal drop out on out of phase T1 imaging. 

Images Changes:

Image MRI (T1 out-of-phase) ( update )

Perspective was set to Axial.

Image MRI (T1 in-phase) ( update )

Perspective was set to Axial.

Image MRI (T2) ( update )

Perspective was set to Axial.

Updates to Study Attributes

Findings was added:

CT demonstrates a small right sided adrenal mass tucked in between the IVC, kidney, liver and vertebral column. It is well circumscribed and of low density on pre-contrast imaging (6HU). Following administration of contrast if enhances to a maximum of 60HU during portal venous phase, and then washes out to 27HU on delayed imaging.

Images Changes:

Image CT (non-contrast) ( update )

Perspective was set to Axial.

Image CT (C+ arterial phase) ( update )

Perspective was set to Axial.

Image CT (C+ portal venous phase) ( update )

Perspective was set to Axial.

Image CT (C+ delayed) ( update )

Perspective was set to Axial.

Image CT (non-contrast) ( update )

Perspective was set to Axial.
Single Or Stack Root was set to .

Image CT (C+ arterial phase) ( update )

Perspective was set to Axial.
Single Or Stack Root was set to .

Image CT (C+ portal venous phase) ( update )

Perspective was set to Axial.
Single Or Stack Root was set to .

Image CT (C+ delayed) ( update )

Perspective was set to Axial.
Single Or Stack Root was set to .

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