Clinics in diagnostic imaging (8). Adrenal metastasis from bronchial carcinoma

A 73-year-old Chinese woman was incidentally discovered having a right supra-renal mass on ultrasound. Computerised tomography (CT) demonstrated this large, mostly cystic mass, with thick enhancing rims, located within the right adrenal gland. Plain radiograph and CT showed a bronchial tumour causing destruction of the adjacent ribs. Ultrasound-guided aspiration biopsy of the right adrenal mass confirmed the diagnosis of metastasis. Imaging plays an important role in detection of asymptomatic adrenal masses and in the staging of lung cancer.