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Management of Incidental Adrenal Masses
Bryan R. Foster, MD
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KEY FACTS

  • Terminology

    • Imaging Anatomy

      • Clinical Implications

        TERMINOLOGY

        • Abbreviations

          • Hounsfield units (HU)
          • Absolute percentage washout (APW)
          • Adrenal cortical carcinoma (ACC)
          • Chemical shift MR (CS-MR)
          • Region of interest (ROI)
          • In phase (IP)
          • Out of phase (OP)
        • Definitions

          • Incidental adrenal masses are those that are discovered by imaging performed for other indications

        IMAGING ANATOMY

        • General Anatomic Considerations

          • Anatomic Relationships

            • Imaging Protocol Optimization

              • Classic Imaging Appearance

                • Preferred Imaging Modality

                  • Interpretation Pitfalls

                    CLINICAL IMPLICATIONS

                    • Clinical Importance

                      • Management of Adrenal Incidentaloma

                        • Adrenal Mass Biopsy

                          • Endocrine Evaluation

                            Selected References

                            1. Glazer DI et al: Incidental adrenal nodules. Radiol Clin North Am. 59(4):591-601, 2021
                            2. McDermott E et al: The role of percutaneous CT-guided biopsy of an adrenal lesion in patients with known or suspected lung cancer. Abdom Radiol (NY). 46(3):1171-8, 2021
                            3. Elsayes KM et al: Mimics, pitfalls, and misdiagnoses of adrenal masses on CT and MRI. Abdom Radiol (NY). 45(4):982-1000, 2020
                            4. Glazer DI et al: Management of incidental adrenal masses: an update. Abdom Radiol (NY). 45(4):892-900, 2020
                            5. Mayo-Smith WW et al: Management of incidental adrenal masses: a white paper of the ACR incidental findings committee. J Am Coll Radiol. 14(8):1038-44, 2017
                            Related Anatomy
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                            Related Differential Diagnoses
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                            References
                            Tables

                            Tables

                            KEY FACTS

                            • Terminology

                              • Imaging Anatomy

                                • Clinical Implications

                                  TERMINOLOGY

                                  • Abbreviations

                                    • Hounsfield units (HU)
                                    • Absolute percentage washout (APW)
                                    • Adrenal cortical carcinoma (ACC)
                                    • Chemical shift MR (CS-MR)
                                    • Region of interest (ROI)
                                    • In phase (IP)
                                    • Out of phase (OP)
                                  • Definitions

                                    • Incidental adrenal masses are those that are discovered by imaging performed for other indications

                                  IMAGING ANATOMY

                                  • General Anatomic Considerations

                                    • Anatomic Relationships

                                      • Imaging Protocol Optimization

                                        • Classic Imaging Appearance

                                          • Preferred Imaging Modality

                                            • Interpretation Pitfalls

                                              CLINICAL IMPLICATIONS

                                              • Clinical Importance

                                                • Management of Adrenal Incidentaloma

                                                  • Adrenal Mass Biopsy

                                                    • Endocrine Evaluation

                                                      Selected References

                                                      1. Glazer DI et al: Incidental adrenal nodules. Radiol Clin North Am. 59(4):591-601, 2021
                                                      2. McDermott E et al: The role of percutaneous CT-guided biopsy of an adrenal lesion in patients with known or suspected lung cancer. Abdom Radiol (NY). 46(3):1171-8, 2021
                                                      3. Elsayes KM et al: Mimics, pitfalls, and misdiagnoses of adrenal masses on CT and MRI. Abdom Radiol (NY). 45(4):982-1000, 2020
                                                      4. Glazer DI et al: Management of incidental adrenal masses: an update. Abdom Radiol (NY). 45(4):892-900, 2020
                                                      5. Mayo-Smith WW et al: Management of incidental adrenal masses: a white paper of the ACR incidental findings committee. J Am Coll Radiol. 14(8):1038-44, 2017