Bilateral adrenal gland enlargement
The differential for bilaterally enlarged adrenal glands is relatively limited:
- adrenal hyperplasia
- adrenal metastases
- adrenal hemorrhage
-
adrenal involvement with granulomatous diseases
- adrenal histoplasmosis 5,6
- adrenal lymphoma
- primary pigmented nodular adrenal dysplasia (PPNAD): usually the glands are normal in size, but nodular; in older patients they may be enlarged 1
- adrenal pheochromocytoma: especially when familial (e.g. in multiple endocrine neoplasia type II) 4
Related Radiopaedia articles
Adrenal pathology
- adrenal gland anatomy
-
adrenal lesions
- adrenal adenoma
- adrenal metastasis
- pheochromocytoma
- adrenal cortical hyperplasia
- adrenal cortical carcinoma
- adrenal granulomatous disease
- adrenal myelolipoma
- neuroblastoma
- ganglioneuroblastoma
- ganglioneuroma
- adrenal hemorrhage
- adrenal abscess
- adrenal hemangioma
- adrenal cyst
- adrenal lymphangioma
- adrenal haemangiosarcoma
- adrenal lymphoma
- extramedullary hematopoiesis in adrenal gland
- tumors of the adrenal gland
- incidentaloma
- Management of Incidental Adrenal Masses: ACR White Paper
- differential diagnoses
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