Adrenal incidentaloma: nothing is ever as it seems

A 58-year-old female patient with cholelithiasis was referred for abdominal ultrasonography in January 2017. The ultrasonography revealed a large left adrenal tumor. The size of the lesion was 65  × 47 mm. High-resolution computed tomography was then performed. It showed a well-circumscribed left adrenal mass (RECIST: 64 mm) with fat stranding. The radiation attenuation coefficient was 27 Hounsfield units. After intravenous administration of contrast media, the tumor showed slight enhan cement to 37 Hounsfield units, resulting from partition reinforcement.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Diagnostic Dilemma Source Type: research