What is the sonographic grey scale appearance of the adrenal gland anatomically?
Hypoechoic outer cortex with homogeneously echoic inner medulla.
What are the three major classical shape appearance of the right adrenal gland?
Pyramidal, comma-shaped, or y or lambda shaped.
What are the four major classical shape appearance of the left adrenal gland?
Crescentic-shaped, spoon fork appearance, y-shaped or a wishbone appearance.
What is the anatomical location of the adrenal glands generally?
They are located at the upper renal poles.
At what stage/time is the paediatric adrenal glands develop into adult adrenal cortices?
Between 3-4 years.
Normally oriented bilateral adrenal glands that maintain their cortical-medullary differentiation. The right adrenal gland (with a typical y-shaped appearance) spans an area of 0.53 cm² while its contralateral left counterpart (with a more spoon-fork appearance) spans an area of 1.22 cm².
The rest of the abdominal viscera are uneventful however, a turgidly distended gastric lumen with anechoic fluid content and intrinsically suspended focal soft solid material of homogeneous hypoechogenicity that is gently peripherally lobulated (most likely a gastric bezoar) is noted. The gastric material aforementioned is avascular on colour Doppler imaging and is almost non-adherent to the gastric inner mucosa. The pyloric sphincter and canal are mildly tapered albeit open and no pyloric muscular wall thickening is evident.