Presentation
Young hypertension, polyuria and polydipsia with persistent hypokalaemia.
Patient Data
Age: 40 years
Gender: Female
From the case:
Adrenal adenoma
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A well-circumscribed 1.8 cm lesion of the lateral limb of the left adrenal gland. Its mean attenuation value on non-contrast, portal venous, and delayed 15-minute phases measured 13 HU, 86 HU, and 32 HU, respectively (absolute washout = 74%, relative washout = 63%), consistent with benign adrenal adenoma.
Incidental finding of uterine fibroids (where the uterus is retroverted and retroflexed).
Case Discussion
The patient is diagnosed with primary hyperaldosteronism (Conn syndrome) and this CT demonstrated the left adrenal adenoma (lipid poor).
The patient was counselled for surgical adrenalectomy in order to correct her hypertension.
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