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Published on: April 17, 2019
Adrenal imaging with MDCT: Nonneoplastic disease
Pamela T Johnson1, Karen M Horton, Elliot K Fishman
1The Russell H. Morgan Department of Radiology and Radiologic Science, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA. pjohnso5@jhmi.edu
Adrenal gland enlargement can stem from various noncancerous conditions like hyperplasia or infection. Accurate CT imaging is crucial for diagnosing these adrenal disorders and preventing serious complications.
Area of Science:
- Radiology
- Endocrinology
- Pathology
Background:
- The adrenal gland exhibits diverse morphological changes due to nonneoplastic conditions.
- Conditions include hyperplasia, hemorrhage, infection, and cystic masses, each presenting unique imaging characteristics.
Purpose of the Study:
- To describe nonneoplastic adrenal gland disorders.
- To illustrate representative computed tomography (CT) findings for each condition.
Main Methods:
- Review of CT imaging findings in patients with nonneoplastic adrenal pathology.
- Correlation of imaging features with histopathological diagnoses where available.
Main Results:
- Detailed descriptions and representative CT images are provided for adrenal hyperplasia, hemorrhage, infection, and cystic lesions.
- Specific imaging patterns associated with each entity are highlighted.
Conclusions:
- Accurate characterization of adrenal lesions on CT is vital for clinical management.
- Distinguishing between entities like infection/hemorrhage and benign cysts is crucial for patient outcomes and avoiding Addisonian crisis.
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