Missed our latest free live-stream? Catch up now on our Procedure Tips (Chris Nicholas) and Right Lower Quadrant Pain (Matt Morgan)

Adrenal calcifications - bilateral

Case contributed by Dr Maxime St-Amant


Incidental finding on an abdominal plain film done for vague abdominal pain.

Patient Data

Age: 55 years
Gender: Male

Plain abdominal radiograph shows bilateral triangular foci of calcifications near the adrenal lodge, compatible with bilateral adrenal calcifications.

Case Discussion

This patient had a past medical history of adrenal hemorrhage. If this was not known then the differential diagnosis for this incidental findings includes:

  • sepsis : Waterhouse-Friderichsen syndrome
  • blunt abdominal trauma
  • neonatal asphyxia
  • coagulopathy
  • infants : calcification seen soon after hemorrhage (as early as 1 - 2 weeks)
Adrenal tumors
  • Addison disease 
    • uncommon in primary Addison disease; calcification suggests an underlying cause (e.g. infection)
  • Wolman disease
PlayAdd to Share

Case information

rID: 18937
Published: 28th Jul 2012
Last edited: 17th Jun 2021
System: Urogenital
Inclusion in quiz mode: Included

Updating… Please wait.

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

 Thank you for updating your details.