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Adrenal Adenoma
Mitchell Tublin, MD
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Diagnostic Checklist

        TERMINOLOGY

        • Definitions

          • Benign adrenal cortical tumor

        IMAGING

        • General Features

          • CT Findings

            • MR Findings

              • Ultrasonographic Findings

                • Angiographic Findings

                  • Nuclear Medicine Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Botsikas D et al: Incidental adrenal lesions detected on enhanced abdominal dual-energy CT: Can the diagnostic workup be shortened by the implementation of virtual unenhanced images? Eur J Radiol. ePub, 2014
                                          2. Glazer DI et al: Adrenal Incidentaloma Triage With Single-Source (Fast-Kilovoltage Switch) Dual-Energy CT. AJR Am J Roentgenol. 203(2):329-35, 2014
                                          3. Koo HJ et al: The value of 15-minute delayed contrast-enhanced CT to differentiate hyperattenuating adrenal masses compared with chemical shift MR imaging. Eur Radiol. 24(6):1410-20, 2014
                                          4. Lattin GE Jr et al: From the radiologic pathology archives: Adrenal tumors and tumor-like conditions in the adult: radiologic-pathologic correlation. Radiographics. 34(3):805-29, 2014
                                          5. Schieda N et al: Pitfalls of adrenal imaging with chemical shift MRI. Clin Radiol. ePub, 2014
                                          6. Sebro R et al: Low yield of chemical shift MRI for characterization of adrenal lesions with high attenuation density on unenhanced CT. Abdom Imaging. ePub, 2014
                                          7. Seo JM et al: Characterization of lipid-poor adrenal adenoma: chemical-shift MRI and washout CT. AJR Am J Roentgenol. 202(5):1043-50, 2014
                                          8. Choi YA et al: Evaluation of adrenal metastases from renal cell carcinoma and hepatocellular carcinoma: use of delayed contrast-enhanced CT. Radiology. 266(2):514-20, 2013
                                          9. Kim JY et al: Utilisation of combined 18F-FDG PET/CT scan for differential diagnosis between benign and malignant adrenal enlargement. Br J Radiol. 86(1028):20130190, 2013
                                          10. Kim YK et al: Adenoma characterization: adrenal protocol with dual-energy CT. Radiology. 267(1):155-63, 2013
                                          11. Northcutt BG et al: MDCT of adrenal masses: can dual-phase enhancement patterns be used to differentiate adenoma and pheochromocytoma? AJR Am J Roentgenol. 201(4):834-9, 2013
                                          12. Nakamura S et al: Characterization of adrenal lesions using chemical shift MRI: comparison between 1.5 Tesla and two echo time pair selection at 3.0 Tesla MRI. J Magn Reson Imaging. 35(1):95-102, 2012
                                          13. Blake MA et al: Adrenal imaging. AJR Am J Roentgenol. 194(6):1450-60, 2010
                                          14. Marin D et al: Characterization of adrenal lesions: comparison of 2D and 3D dual gradient-echo MR imaging at 3 T--preliminary results. Radiology. 254(1):179-87, 2010
                                          15. Yip L et al: The adrenal mass: correlation of histopathology with imaging. Ann Surg Oncol. 17(3):846-52, 2010
                                          16. Caoili EM et al: Adrenal masses: characterization with combined unenhanced and delayed enhanced CT. Radiology. 222(3):629-33, 2002
                                          17. Jhaveri KS et al: Comparison of CT histogram analysis and chemical shift MRI in the characterization of indeterminate adrenal nodules. AJR Am J Roentgenol. 187(5):1303-8, 2006
                                          18. Dunnick NR et al: Imaging of adrenal incidentalomas: current status. AJR Am J Roentgenol. 179(3):559-68, 2002
                                          19. Caoili EM et al: Delayed enhanced CT of lipid-poor adrenal adenomas. AJR Am J Roentgenol. 175(5):1411-5, 2000
                                          20. Korobkin M et al: Adrenal adenomas: relationship between histologic lipid and CT and MR findings. Radiology. 200(3):743-7, 1996
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Diagnostic Checklist

                                                TERMINOLOGY

                                                • Definitions

                                                  • Benign adrenal cortical tumor

                                                IMAGING

                                                • General Features

                                                  • CT Findings

                                                    • MR Findings

                                                      • Ultrasonographic Findings

                                                        • Angiographic Findings

                                                          • Nuclear Medicine Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Botsikas D et al: Incidental adrenal lesions detected on enhanced abdominal dual-energy CT: Can the diagnostic workup be shortened by the implementation of virtual unenhanced images? Eur J Radiol. ePub, 2014
                                                                                  2. Glazer DI et al: Adrenal Incidentaloma Triage With Single-Source (Fast-Kilovoltage Switch) Dual-Energy CT. AJR Am J Roentgenol. 203(2):329-35, 2014
                                                                                  3. Koo HJ et al: The value of 15-minute delayed contrast-enhanced CT to differentiate hyperattenuating adrenal masses compared with chemical shift MR imaging. Eur Radiol. 24(6):1410-20, 2014
                                                                                  4. Lattin GE Jr et al: From the radiologic pathology archives: Adrenal tumors and tumor-like conditions in the adult: radiologic-pathologic correlation. Radiographics. 34(3):805-29, 2014
                                                                                  5. Schieda N et al: Pitfalls of adrenal imaging with chemical shift MRI. Clin Radiol. ePub, 2014
                                                                                  6. Sebro R et al: Low yield of chemical shift MRI for characterization of adrenal lesions with high attenuation density on unenhanced CT. Abdom Imaging. ePub, 2014
                                                                                  7. Seo JM et al: Characterization of lipid-poor adrenal adenoma: chemical-shift MRI and washout CT. AJR Am J Roentgenol. 202(5):1043-50, 2014
                                                                                  8. Choi YA et al: Evaluation of adrenal metastases from renal cell carcinoma and hepatocellular carcinoma: use of delayed contrast-enhanced CT. Radiology. 266(2):514-20, 2013
                                                                                  9. Kim JY et al: Utilisation of combined 18F-FDG PET/CT scan for differential diagnosis between benign and malignant adrenal enlargement. Br J Radiol. 86(1028):20130190, 2013
                                                                                  10. Kim YK et al: Adenoma characterization: adrenal protocol with dual-energy CT. Radiology. 267(1):155-63, 2013
                                                                                  11. Northcutt BG et al: MDCT of adrenal masses: can dual-phase enhancement patterns be used to differentiate adenoma and pheochromocytoma? AJR Am J Roentgenol. 201(4):834-9, 2013
                                                                                  12. Nakamura S et al: Characterization of adrenal lesions using chemical shift MRI: comparison between 1.5 Tesla and two echo time pair selection at 3.0 Tesla MRI. J Magn Reson Imaging. 35(1):95-102, 2012
                                                                                  13. Blake MA et al: Adrenal imaging. AJR Am J Roentgenol. 194(6):1450-60, 2010
                                                                                  14. Marin D et al: Characterization of adrenal lesions: comparison of 2D and 3D dual gradient-echo MR imaging at 3 T--preliminary results. Radiology. 254(1):179-87, 2010
                                                                                  15. Yip L et al: The adrenal mass: correlation of histopathology with imaging. Ann Surg Oncol. 17(3):846-52, 2010
                                                                                  16. Caoili EM et al: Adrenal masses: characterization with combined unenhanced and delayed enhanced CT. Radiology. 222(3):629-33, 2002
                                                                                  17. Jhaveri KS et al: Comparison of CT histogram analysis and chemical shift MRI in the characterization of indeterminate adrenal nodules. AJR Am J Roentgenol. 187(5):1303-8, 2006
                                                                                  18. Dunnick NR et al: Imaging of adrenal incidentalomas: current status. AJR Am J Roentgenol. 179(3):559-68, 2002
                                                                                  19. Caoili EM et al: Delayed enhanced CT of lipid-poor adrenal adenomas. AJR Am J Roentgenol. 175(5):1411-5, 2000
                                                                                  20. Korobkin M et al: Adrenal adenomas: relationship between histologic lipid and CT and MR findings. Radiology. 200(3):743-7, 1996