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-phase and out of phase T1-weighted images. Normal right adrenal gland.

Case Discussion

The marked reduction in signal intensity between the in-phase and out of phase T1-weighted images indicates fatty content, and therefore a lipid-rich adenoma. For lipid-rich adenomas of the adrenal glands measuring under 4 cm in a patient with no underlying malignancy, no follow up imaging is required 1.

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Case information

rID: 49349
Case created: 21st Nov 2016
Last edited: 29th Mar 2018
System: Urogenital
Inclusion in quiz mode: Included

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