Adrenal myelolipoma

Case contributed by Dr Maulik S Patel

Presentation

Referred for USG with complaint of menstrual irregularity.

Patient Data

Age: 45 years
Gender: Female
Ultrasound

Right supra-renal predominantly echogenic lesion is noted. It displaces the liver capsule upwards. There is a small peripheral hypoechoic area in the cranial part of the lesion.

Liver shows generalized increased echogenicity. Right kidney, left kidney, and spleen are normal.

Case Discussion

Differential for an echogenic lesion in the suprarenal area includes:

  • adrenal myelolipoma
  • renal angiomyolipoma
  • retroperitoneal teratoma
  • lipoma
  • liposarcoma

CT is needed to ascertain an adrenal origin of the lesion which was done (not uploaded) and confirmed the ultrasound diagnosis. 

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Case information

rID: 27088
Case created: 20th Jan 2014
Last edited: 27th Sep 2017
System: Urogenital
Inclusion in quiz mode: Included

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