Giant adrenal pseudocyst: A rare diagnosis

Area of Science:

• Radiology
• Gastroenterology
• Endocrinology

Background:

• Giant adrenal pseudocysts are rare, often presenting as right upper quadrant pain.
• Differentiating benign adrenal cysts from malignant lesions is clinically important.

Observation:

• A rare case of giant adrenal pseudocyst causing right upper quadrant pain is presented.
• The study highlights typical multimodality imaging features of adrenal pseudocysts.
• Adrenal pseudocysts can mimic malignant lesions, necessitating accurate diagnostic approaches.

Findings:

• Unenhanced and contrast-enhanced CT are primary imaging modalities for adrenal cysts.
• MRI offers superior assessment of cystic, solid, and enhancing components.
• Adrenal pseudocysts can be purely cystic, mixed, or solid, with hemorrhage-induced calcifications.

Implications:

• Multimodality imaging assessment is vital for diagnosing cystic adrenal lesions.
• CT excels at detecting calcifications, while MRI aids in characterizing cystic components and differentiating hemorrhage from tumors.
• Accurate and timely diagnosis of adrenal pseudocysts is essential for appropriate patient management.