Adrenal hemorrhage

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Right flank pain.

Patient Data

Age: 60 years
Gender: Female
CT

A 95×65×55 mm well-defined oval shaped lesion with mean density of 60 HU and focal rim enhancement is noted at right adrenal gland, which causes downward shift of right kidney. Perilesional, right perinephric, and pericolic fat stranding and free fluid are seen. The left adrenal gland is enlarged.
The left kidney is smaller than normal and there is a 50 mm simple cortical cyst at superoposterior aspect of left kidney. 

Case Discussion

Features on CT scan compatible with right adrenal hemorrhage with left adrenal hyperplasia.

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Case information

rID: 62622
Published: 24th Aug 2018
Last edited: 27th Aug 2018
System: Urogenital
Inclusion in quiz mode: Included
Institution: Tabesh medical imaging center

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