Adrenal myelolipoma

Case contributed by Hani Makky Al Salam
Diagnosis almost certain

Presentation

Incidental finding.

Patient Data

Age: 50 years
Gender: Male
ct

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

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

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