Presentation
Abdominal pain and constipation.
Patient Data
Age: 45 years
Gender: Female
From the case:
Macronodular adrenal hyperplasia
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Bilateral multiple large adrenal nodules with maintained adreniform shape. They elicit adenoma-like signal being of isointense signal on T1 and T2 with signal drop on the out of phase, diffusion restriction, and mild post-contrast enhancement.
Case Discussion
Macronodular adrenal hyperplasia refers to a morphological type of adrenal hyperplasia in which there is adrenal enlargement in the form of large distinct nodules. It can be congenital or acquired.
A specific subtype under this entity is adrenocorticotropin independent macronodular adrenocortical hyperplasia (AIMAH).
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