Lipid rich adrenal adenoma

Case contributed by Dr Vikas Shah

Presentation

Incidental finding of adrenal lesion on CTPA. Characterisation study requested.

Patient Data

Age: 40 years
Gender: Male
MRI

MRI for adrenal lesion characterisation

3.5 cm left adrenal lesion which shows reduction in signal intensity between the "in" and "out" phases of the T1 weighted images. Normal right adrenal gland.

Case Discussion

The marked reduction is signal intensity between the "in" and "out" phases on the T1 weighted images indicates fatty content, and therefore a lipid rich adenoma. For lipid rich adenomas of the adrenal glands measuring under 4 cm, where the patient has no underlying malignancy, no follow up imaging is required1.

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Case information

rID: 49349
Case created: 21st Nov 2016
Last edited: 22nd Jul 2017
System: Urogenital
Inclusion in quiz mode: Included

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