Adrenal washout

Changed by Daniel J Bell, 4 Jan 2018

Updates to Article Attributes

Body was changed:

Adrenal washout can be calculated using the density value of an adrenal mass on non-enhanced, portal venous phase and 15 minutes delayed CT-scans (density measured in Hounsfield units (HU). It is primarily used to diagnose adrenal adenoma.

  • absolute washout
    • [(HUportal venous phase) - (HUdelayed)] / [(HUportal venous phase) - (HUnon-enhanced)] x 100
    • >60% washout is highly suggestive of adrenal adenoma
  • relative washout
    • [(HUportal venous phase) - (HUdelayed)] / (HUportal venous phase) x 100
    • >40% washout is highly suggestive of adrenal adenoma

PheochromocytomasPhaeochromocytomas may also wash out, but should have a different clinical presentation. They also may have a higher absolute attenuation on the contrast phase (arterial or portal venous) and any adrenal lesion >120 HU with washout should not be diagnosed as an adenoma.

Online calculators
  • -<p><strong>Adrenal washout</strong> can be calculated using the density value of an adrenal mass on non-enhanced, portal venous phase and 15 minutes delayed CT-scans. It is primarily used to diagnose <a href="/articles/adrenal-adenoma">adrenal adenoma</a>.</p><ul>
  • +<p><strong>Adrenal washout</strong> can be calculated using the density value of an <a title="Unilateral adrenal mass" href="/articles/adrenal-lesions-differential">adrenal mass</a> on non-enhanced, portal venous phase and 15 minutes delayed <a title="CT" href="/articles/computed-tomography">CT-scans</a> (density measured in <a title="Hounsfield unit" href="/articles/hounsfield-unit">Hounsfield units </a>(HU). It is primarily used to diagnose <a href="/articles/adrenal-adenoma">adrenal adenoma</a>.</p><ul>
  • -</ul><p><a href="/articles/pheochromocytoma-2">Pheochromocytomas</a> may also wash out, but should have a different clinical presentation. They also may have a higher absolute attenuation on the contrast phase (arterial or portal venous) and any adrenal lesion &gt;120 HU with washout should not be diagnosed as an adenoma.</p><h5>Online calculators</h5><ul>
  • +</ul><p><a href="/articles/pheochromocytoma-2">Phaeochromocytomas</a> may also wash out, but should have a different clinical presentation. They also may have a higher absolute attenuation on the contrast phase (arterial or portal venous) and any adrenal lesion &gt;120 HU with washout should not be diagnosed as an adenoma.</p><h5>Online calculators</h5><ul>
  • -<li><a title="https://www.easycalculation.com/medical/adrenal-washout-calculator.php" href="https://www.easycalculation.com/medical/adrenal-washout-calculator.php">https://www.easycalculation.com/medical/adrenal-washout-calculator.php</a></li>
  • +<li><a href="https://www.easycalculation.com/medical/adrenal-washout-calculator.php">https://www.easycalculation.com/medical/adrenal-washout-calculator.php</a></li>

ADVERTISEMENT: Supporters see fewer/no ads

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.