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. 2003 Jan;16(1):7-12.
doi: 10.1080/08998280.2003.11927882.

Evaluation and management of the incidental adrenal mass

David T Arnold  1 , Jennifer Blumoff Reed, Kristina Burt
Affiliations

Evaluation and management of the incidental adrenal mass

David T Arnold et al. Proc (Bayl Univ Med Cent). 2003 Jan.
No abstract available

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Figures

Figure 1
Figure 1
A characteristic incidentaloma. This is an encapsulated solid lesion in the left adrenal gland. Final diagnosis cannot be made without further workup.
Figure 2
Figure 2
(a) A left adrenal cyst with a fluid-filled cavity and calcified rim. (b) A right myelolipoma with predominantly lipid density.
Figure 3
Figure 3
A characteristic (a) coronal and (b) axial MRI T2-weighted sequence of a pheochromocytoma. The left adrenal mass is very bright and easy to identify.
Figure 4
Figure 4
In-phase and (b) opposed-phase chemical-shift MRI. On the opposed-phase chemical shift, the right adenoma darkens—a finding 100% specific for a benign adenoma.
Figure 5
Figure 5
A typical well-encapsulated aldosteronoma of the left adrenal gland. It is benign but is producing aldosterone.
Figure 6
Figure 6
A left adrenocortical carcinoma with renal vein and inferior vena cava invasion on a T2-weighted MRI.
Figure 7
Figure 7
(a) Chest CT scan with right hilar and mediastinal lymphadenopathy in a patient with squamous cell lung cancer, (b) Images through the abdomen demonstrate a right adrenal mass, proven to be a squamous cell cancer metastasis.
Figure 8
Figure 8
Algorithm for managing adrenal incidentalomas. ACTH indicates adreno-corticotropic hormone; FNA, fine-needle aspiration.
See this image and copyright information in PMC

References

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