Lipid-rich adrenal adenoma

Case contributed by Bálint Botz
Diagnosis almost certain


Screening US.

Patient Data

Age: 85 years
Gender: Female

A hypoechogenic rounded mass is visible in the position of the right adrenal gland. 


The lesion is showing lipid attenuation (-18 HU) on noncontrast CT, thus being virtually pathognomonic for lipid-rich adenoma. No contrast was given. 

Other findings: liver and kidney cysts (hyperdense on in left kidney), left kidney calculus, advanced atherosclerosis. 

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