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Case Reports
. 1992 Mar-Apr;16(2):301-4.
doi: 10.1097/00004728-199203000-00022.

Hemorrhagic adrenal adenoma simulating myelolipoma: CT evaluation

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Case Reports

Hemorrhagic adrenal adenoma simulating myelolipoma: CT evaluation

R E Rhodes et al. J Comput Assist Tomogr. 1992 Mar-Apr.

Abstract

We present a hemorrhagic adrenal adenoma surrounding and encompassing adjacent retroperitoneal fat to simulate the appearance of a myelolipoma by CT. A well-defined fibrous capsule, punctate calcification, and several macroscopic foci of fat within the mass led to an erroneous preoperative diagnosis. Lesions displaying large amounts of soft tissue attenuation material in addition to fat preclude a confident diagnosis of myelolipoma and should undergo directed percutaneous needle biopsy or surgery.

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