Adrenal calcification

Dr Dan J Bell and A.Prof Frank Gaillard et al.

Adrenal calcification is not a rare finding in healthy asymptomatic people and is usually the result of previous haemorrhage or tuberculosis. Addison disease patients only occasionally develop calcification. 

Adrenal calcification is best assessed on CT where it can be differentiated from a calcified adrenal mass or lesion. CT also allows simultaneous characterisation of any underlying lesions with size, density, enhancement, and washout.

In children, neuroblastoma has been reported as the commonest calcifying adrenal mass 4. In adults, simple calcified cysts have been reported as common adrenal masses, characteristically showing peripheral curvilinear calcification.

Post-haemorrhage calcification is usually seen after the initial adrenal haematoma has resolved and, hence, is not usually seen with an adrenal lesion. However, adrenal metastases such as from bronchogenic tumours can present with haemorrhage, making the diagnosis challenging.

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Article information

rID: 5947
Section: Gamuts
Synonyms or Alternate Spellings:
  • Adrenal calcifications
  • Calcification of the adrenal gland
  • Calcification of the adrenal glands
  • Differential diagnosis for adrenal gland calcification
  • Differential for adrenal gland calcification

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Cases and figures

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    Case 1: bilateral adrenal calcifications
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    Adrenal Calcifica...
    Case 2: right adrenal calcifiation
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    Case 3: bilateral adrenal calcification
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    Case 4: bilateral adrenal calcification
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    Case 5
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    Case 6
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    Case 7: Addison disease
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    Case 8: secondary to previous tuberculosis
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