154,568 Registered Members as of 06/23/2017.
Abdomen » Retroperitoneum
Adrenal adenoma
« Back to Listing
 
Author(s) :
Chaitali Shah, FRCR
 
Presentation A 36 year old woman with a history of end stage renal disease secondary to IgA nephropathy presents with vague abdominal pain. At the time of presentation she was on hemodialysis.
 
 
 
Caption: Sagittal scan demonstrating the left lobe of the liver
Description: A well-defined, hypoechoic rounded mass is seen in the region of the right adrenal gland, posterior to the inferior vena cava and indenting it. The visualized left lobe of the liver and the left hepatic vein appear normal.
 
 
 
Caption: Para-sagittal scan of the right upper quadrant
Description: The mass in the region of the right adrenal gland is noted again and shows well-circumscribed margins.
 
 
 
Caption: Transverse view of the right upper quadrant
Description: The extrahepatic nature of the mass is well demonstrated in this image and the mass is seen displacing the inferior vena cava anteriorly.
 
 
 
Caption: Transverse color Doppler scan of the mass
Description: The mass exhibits no significant internal vascularity.
 
Differential Diagnosis Adrenal adenoma
 
Final Diagnosis Adrenal adenoma
 
Follow Up The adrenal adenoma detected in our case here was an incidental finding. The patient had anormal electrolyte levels. The mass was not biopsied, but follow up scans revealed the mass to be stable with no change in size or internal characteristics and therefore a presumptive diagnosis of a non-functioning adrenal adenoma was made.
 
Other contents by this AuthorOther Cases in This Category