Referred for USG with complaint of menstrual irregularity.
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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.
Differential for an echogenic lesion in the suprarenal area includes
- adrenal myelolipoma
- renal angiomyolipoma
- retroperitoneal teratoma
CT is needed to acertain adrenal origin of the lesion which was done and confirmed the ultrasound diagnosis.