Presentation
Epigastric pain.
Patient Data
Age: 70 years
Gender: Male
From the case:
Adrenal myelolipoma
{"study":{"id":121241,"case_slug":"adrenal-myelolipoma-51","modality":"CT","series":[{"id":58538460,"content_type":"image/png","frames":[{"id":58538446,"width":446,"height":386},{"id":58538447},{"id":58538448},{"id":58538449},{"id":58538450},{"id":58538451},{"id":58538452},{"id":58538453},{"id":58538454},{"id":58538455},{"id":58538456},{"id":58538457},{"id":58538458},{"id":58538459},{"id":58538460,"current":true},{"id":58538461},{"id":58538462},{"id":58538463},{"id":58538464},{"id":58538465},{"id":58538466},{"id":58538467},{"id":58538468},{"id":58538469},{"id":58538470},{"id":58538471},{"id":58538472},{"id":58538473},{"id":58538474},{"id":58538475},{"id":58538476},{"id":58538477},{"id":58538478},{"id":58538479}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"0._tiny.jpeg","jumbo":"0._jumbo.jpeg","small":"0._small.jpeg","thumb":"0._thumb.jpeg","medium":"0._medium.jpeg","gallery":"0._gallery.jpeg","big_gallery":"0._big_gallery.jpeg","original":"0..png"},{"tiny":"1._tiny.jpeg","jumbo":"1._jumbo.jpeg","small":"1._small.jpeg","thumb":"1._thumb.jpeg","medium":"1._medium.jpeg","gallery":"1._gallery.jpeg","big_gallery":"1._big_gallery.jpeg","original":"1..png"},{"tiny":"2._tiny.jpeg","jumbo":"2._jumbo.jpeg","small":"2._small.jpeg","thumb":"2._thumb.jpeg","medium":"2._medium.jpeg","gallery":"2._gallery.jpeg","big_gallery":"2._big_gallery.jpeg","original":"2..png"},{"tiny":"3._tiny.jpeg","jumbo":"3._jumbo.jpeg","small":"3._small.jpeg","thumb":"3._thumb.jpeg","medium":"3._medium.jpeg","gallery":"3._gallery.jpeg","big_gallery":"3._big_gallery.jpeg","original":"3..png"},{"tiny":"4._tiny.jpeg","jumbo":"4._jumbo.jpeg","small":"4._small.jpeg","thumb":"4._thumb.jpeg","medium":"4._medium.jpeg","gallery":"4._gallery.jpeg","big_gallery":"4._big_gallery.jpeg","original":"4..png"},{"tiny":"5._tiny.jpeg","jumbo":"5._jumbo.jpeg","small":"5._small.jpeg","thumb":"5._thumb.jpeg","medium":"5._medium.jpeg","gallery":"5._gallery.jpeg","big_gallery":"5._big_gallery.jpeg","original":"5..png"},{"tiny":"6._tiny.jpeg","jumbo":"6._jumbo.jpeg","small":"6._small.jpeg","thumb":"6._thumb.jpeg","medium":"6._medium.jpeg","gallery":"6._gallery.jpeg","big_gallery":"6._big_gallery.jpeg","original":"6..png"},{"tiny":"7._tiny.jpeg","jumbo":"7._jumbo.jpeg","small":"7._small.jpeg","thumb":"7._thumb.jpeg","medium":"7._medium.jpeg","gallery":"7._gallery.jpeg","big_gallery":"7._big_gallery.jpeg","original":"7..png"},{"tiny":"8._tiny.jpeg","jumbo":"8._jumbo.jpeg","small":"8._small.jpeg","thumb":"8._thumb.jpeg","medium":"8._medium.jpeg","gallery":"8._gallery.jpeg","big_gallery":"8._big_gallery.jpeg","original":"8..png"},{"tiny":"9._tiny.jpeg","jumbo":"9._jumbo.jpeg","small":"9._small.jpeg","thumb":"9._thumb.jpeg","medium":"9._medium.jpeg","gallery":"9._gallery.jpeg","big_gallery":"9._big_gallery.jpeg","original":"9..png"},{"tiny":"10._tiny.jpeg","jumbo":"10._jumbo.jpeg","small":"10._small.jpeg","thumb":"10._thumb.jpeg","medium":"10._medium.jpeg","gallery":"10._gallery.jpeg","big_gallery":"10._big_gallery.jpeg","original":"10..png"},{"tiny":"11._tiny.jpeg","jumbo":"11._jumbo.jpeg","small":"11._small.jpeg","thumb":"11._thumb.jpeg","medium":"11._medium.jpeg","gallery":"11._gallery.jpeg","big_gallery":"11._big_gallery.jpeg","original":"11..png"},{"tiny":"12._tiny.jpeg","jumbo":"12._jumbo.jpeg","small":"12._small.jpeg","thumb":"12._thumb.jpeg","medium":"12._medium.jpeg","gallery":"12._gallery.jpeg","big_gallery":"12._big_gallery.jpeg","original":"12..png"},{"tiny":"13._tiny.jpeg","jumbo":"13._jumbo.jpeg","small":"13._small.jpeg","thumb":"13._thumb.jpeg","medium":"13._medium.jpeg","gallery":"13._gallery.jpeg","big_gallery":"13._big_gallery.jpeg","original":"13..png"},{"tiny":"14._tiny.jpeg","jumbo":"14._jumbo.jpeg","small":"14._small.jpeg","thumb":"14._thumb.jpeg","medium":"14._medium.jpeg","gallery":"14._gallery.jpeg","big_gallery":"14._big_gallery.jpeg","original":"14..png"},{"tiny":"15._tiny.jpeg","jumbo":"15._jumbo.jpeg","small":"15._small.jpeg","thumb":"15._thumb.jpeg","medium":"15._medium.jpeg","gallery":"15._gallery.jpeg","big_gallery":"15._big_gallery.jpeg","original":"15..png"},{"tiny":"16._tiny.jpeg","jumbo":"16._jumbo.jpeg","small":"16._small.jpeg","thumb":"16._thumb.jpeg","medium":"16._medium.jpeg","gallery":"16._gallery.jpeg","big_gallery":"16._big_gallery.jpeg","original":"16..png"},{"tiny":"17._tiny.jpeg","jumbo":"17._jumbo.jpeg","small":"17._small.jpeg","thumb":"17._thumb.jpeg","medium":"17._medium.jpeg","gallery":"17._gallery.jpeg","big_gallery":"17._big_gallery.jpeg","original":"17..png"},{"tiny":"18._tiny.jpeg","jumbo":"18._jumbo.jpeg","small":"18._small.jpeg","thumb":"18._thumb.jpeg","medium":"18._medium.jpeg","gallery":"18._gallery.jpeg","big_gallery":"18._big_gallery.jpeg","original":"18..png"},{"tiny":"19._tiny.jpeg","jumbo":"19._jumbo.jpeg","small":"19._small.jpeg","thumb":"19._thumb.jpeg","medium":"19._medium.jpeg","gallery":"19._gallery.jpeg","big_gallery":"19._big_gallery.jpeg","original":"19..png"},{"tiny":"20._tiny.jpeg","jumbo":"20._jumbo.jpeg","small":"20._small.jpeg","thumb":"20._thumb.jpeg","medium":"20._medium.jpeg","gallery":"20._gallery.jpeg","big_gallery":"20._big_gallery.jpeg","original":"20..png"},{"tiny":"21._tiny.jpeg","jumbo":"21._jumbo.jpeg","small":"21._small.jpeg","thumb":"21._thumb.jpeg","medium":"21._medium.jpeg","gallery":"21._gallery.jpeg","big_gallery":"21._big_gallery.jpeg","original":"21..png"},{"tiny":"22._tiny.jpeg","jumbo":"22._jumbo.jpeg","small":"22._small.jpeg","thumb":"22._thumb.jpeg","medium":"22._medium.jpeg","gallery":"22._gallery.jpeg","big_gallery":"22._big_gallery.jpeg","original":"22..png"},{"tiny":"23._tiny.jpeg","jumbo":"23._jumbo.jpeg","small":"23._small.jpeg","thumb":"23._thumb.jpeg","medium":"23._medium.jpeg","gallery":"23._gallery.jpeg","big_gallery":"23._big_gallery.jpeg","original":"23..png"},{"tiny":"24._tiny.jpeg","jumbo":"24._jumbo.jpeg","small":"24._small.jpeg","thumb":"24._thumb.jpeg","medium":"24._medium.jpeg","gallery":"24._gallery.jpeg","big_gallery":"24._big_gallery.jpeg","original":"24..png"},{"tiny":"25._tiny.jpeg","jumbo":"25._jumbo.jpeg","small":"25._small.jpeg","thumb":"25._thumb.jpeg","medium":"25._medium.jpeg","gallery":"25._gallery.jpeg","big_gallery":"25._big_gallery.jpeg","original":"25..png"},{"tiny":"26._tiny.jpeg","jumbo":"26._jumbo.jpeg","small":"26._small.jpeg","thumb":"26._thumb.jpeg","medium":"26._medium.jpeg","gallery":"26._gallery.jpeg","big_gallery":"26._big_gallery.jpeg","original":"26..png"},{"tiny":"27._tiny.jpeg","jumbo":"27._jumbo.jpeg","small":"27._small.jpeg","thumb":"27._thumb.jpeg","medium":"27._medium.jpeg","gallery":"27._gallery.jpeg","big_gallery":"27._big_gallery.jpeg","original":"27..png"},{"tiny":"28._tiny.jpeg","jumbo":"28._jumbo.jpeg","small":"28._small.jpeg","thumb":"28._thumb.jpeg","medium":"28._medium.jpeg","gallery":"28._gallery.jpeg","big_gallery":"28._big_gallery.jpeg","original":"28..png"},{"tiny":"29._tiny.jpeg","jumbo":"29._jumbo.jpeg","small":"29._small.jpeg","thumb":"29._thumb.jpeg","medium":"29._medium.jpeg","gallery":"29._gallery.jpeg","big_gallery":"29._big_gallery.jpeg","original":"29..png"},{"tiny":"30._tiny.jpeg","jumbo":"30._jumbo.jpeg","small":"30._small.jpeg","thumb":"30._thumb.jpeg","medium":"30._medium.jpeg","gallery":"30._gallery.jpeg","big_gallery":"30._big_gallery.jpeg","original":"30..png"},{"tiny":"31._tiny.jpeg","jumbo":"31._jumbo.jpeg","small":"31._small.jpeg","thumb":"31._thumb.jpeg","medium":"31._medium.jpeg","gallery":"31._gallery.jpeg","big_gallery":"31._big_gallery.jpeg","original":"31..png"},{"tiny":"32._tiny.jpeg","jumbo":"32._jumbo.jpeg","small":"32._small.jpeg","thumb":"32._thumb.jpeg","medium":"32._medium.jpeg","gallery":"32._gallery.jpeg","big_gallery":"32._big_gallery.jpeg","original":"32..png"},{"tiny":"33._tiny.jpeg","jumbo":"33._jumbo.jpeg","small":"33._small.jpeg","thumb":"33._thumb.jpeg","medium":"33._medium.jpeg","gallery":"33._gallery.jpeg","big_gallery":"33._big_gallery.jpeg","original":"33..png"}]},"perspective":"Axial","specifics":"non-contrast"}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"seamus-oflaherty","case_id":99641,"case_key_image_id":58538460,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
Left adrenal lesion with macroscopic fat, characteristic of myelolipoma.
Case Discussion
Adrenal myelolipomas are rare benign tumors composed of adrenal tissue, fat and hematopoietic (blood) components. The macroscopic fat seen on CT is pathognomonic of the lesion. Most are asymptomatic and found incidentally when the patient is investigated for other reasons.