Adrenal myelolipoma

Case contributed by Hani M. Al Salam
Diagnosis almost certain

Presentation

Incidental finding.

Patient Data

Age: 50 years
Gender: Male
ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+
arterial phase
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Axial C+
delayed
This study is a stack
Coronal
non-contrast
Download
Info

A small, heterogeneous, left adrenal, well-defined lesion is seen. It is primarily of fatty attenuation, with a smaller, soft tissue component centrally. No appreciable enhancement can be seen. Features consistent with a left adrenal myelolipoma.

No retroperitoneal hemorrhage. 

Diffuse hepatic steatosis. 

No further abnormality is seen in the abdominal solid viscera. 

mri
This study is a stack
Coronal T1
in-phase
This study is a stack
Coronal T1
out-of-phase
This study is a stack
Coronal T2
fat sat
Download
Info

The out-of-phase images show striking drop of signal intensity, due to the lesion comprising an admixture of soft tissue and fat. 

Case Discussion

Adrenal myelolipoma

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

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

 Thank you for updating your details.