Backache. Referred for spine radiographs.
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Amorphous bilateral suprarenal calcifications are compatible with adrenal calcifications.
Bilateral adrenal calcification.
The differential for this finding in an adult is wide and includes:
- adrenal metastases: especially melanoma
- adrenal myelolipoma
- adrenal adenoma
- adrenocortical carcinoma
- Addison disease
- uncommon in primary Addison disease; calcification suggests an underlying cause (e.g. infection)