Case 03: CT Adrenals

Routine CT for abdominal pain


Study shows a well defined right sided adrenal mass lesion on CT Plain. HU Value is 30 on plain. Initial and delayed scans (15min) show no contrast washout (< 60%). The lack of contrast washout rules out an adrenal adenoma (lipid poor). HU value greater than 10 HU means that its not a lipid rich adenoma. There is no peripheral enhancement noted.

On further probing, history of operated Ca Lung was elicited.

Final Diagnosis after Biopsy: Adrenal Metastasis