EURORAD ESR

Case 1927

Bilateral adrenal myelolipomas: CT and MR imaging findings

Author(s)
P. Papanagiotou, A. H. Karantanas
 
Patient
female, 72 year(s)
 
 
  • Figure 1
    Bilateral adrenal myolipomas
     

    Axial CT image shows an ovoid heterogeneously hypodense lesion originating from the right adrenal.

     
    Area of Interest: unknown; Imaging Technique: Bilateral adrenal myolipomas;

    Axial CT image at a lower level shows a small myelolipoma in the medial limb of the left adrenal and a typical benign adenoma in the lateral limb.

     
    Area of Interest: unknown; Imaging Technique: Bilateral adrenal myolipomas;
     
     
  • Figure 2
    MR imaging of bilateral myelolipomas
     

    Axial T2-weighted Turbo Spin Echo image shows a high signal intensity lesion on the right side.

     
    Area of Interest: unknown; Imaging Technique: MR imaging of bilateral myelolipomas;

    Axial T2-weighted Turbo Spin Echo image shows a high signal intensity small lesion corresponding to a myelolipoma of the medial limb and an intermediate signal intensity lesion of the lateral limb corresponding to a...

     
    Area of Interest: unknown; Imaging Technique: MR imaging of bilateral myelolipomas;

    Coronal fat-suppressed T2-weighted Turbo Spin Echo image shows the elimination of the signal of the fatty elements.

     
    Area of Interest: unknown; Imaging Technique: MR imaging of bilateral myelolipomas;
     
     
  • Figure 3
    Contrast-enhanced MR imaging of adrenal myelolipoma

    Fat-suppressed contrast-enhanced T1-weighted Spin Echo image in the axial plane shows heterogenous enhancement of the capsule and some central parts, presumably corresponding to marrow elements.

     
    Area of Interest: unknown; Imaging Technique: Contrast-enhanced MR imaging of adrenal myelolipoma;
     
     
Axial CT image shows an ovoid heterogeneously hypodense lesion originating from the right adrenal.
 
Axial CT image at a lower level shows a small myelolipoma in the medial limb of the left adrenal and a typical benign adenoma in the lateral limb.
 
Axial T2-weighted Turbo Spin Echo image shows a high signal intensity lesion on the right side.
 
Axial T2-weighted Turbo Spin Echo image shows a high signal intensity small lesion corresponding to a myelolipoma of the medial limb and an intermediate signal intensity lesion of the lateral limb corresponding to a benign adenoma.
 
Coronal fat-suppressed T2-weighted Turbo Spin Echo image shows the elimination of the signal of the fatty elements.
 
Fat-suppressed contrast-enhanced T1-weighted Spin Echo image in the axial plane shows heterogenous enhancement of the capsule and some central parts, presumably corresponding to marrow elements.
 
 
 
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