Adrenal Incidentalomas: Clinical Controversies and Modified Recommendations

Abstract

Objective: A variety of imaging and clinical guidelines have been developed to assist radiologists and referring physicians in the workup of incidental adrenal masses. The objective of this article is to provide a concise review of incidental adrenal mass imaging and present the key differences between the available guidelines.

Conclusion: An alternative algorithm for the imaging and clinical workup of adrenal incidentalomas is presented in an attempt to bridge sometimes conflicting recommendations.

Keywords: adrenal; adrenal adenoma; adrenal incidentaloma; incidental adrenal mass; incidental adrenal nodule.