When, how and why to image the adrenals
Number:28ESURABS0100
Type:Educational Electronic Presentation
Authors: Laura Buñesch Villalba, Maite Rodrigo, Rafael Salvador Izquierdo, Daniel Vas, Marta Burrel Samaranch, Carmen Sebastia Cerqueda, Carlos Nicolau Molina
Keywords:adrenal incidentaloma, adrenal neoplasm, adrenal vein sampling
SECTIONS
Educational objective

- To review the clinical and radiological scenarios in which a specific exam of the adrenals is necessary

- To discuss the technical aspects of the radiological exams in the different settings

- To propose a diagnostic algorithm for each of these situations

- To show the typical appearances of the main adrenal lesions with radiopathologic correlation


Topic Review

Most specific radiological exams of the adrenal glands are performed to study tumours or tumour-like lesions. A specific adrenal exam is also usually performed before an adrenal vein sampling intervention for radiological mapping of the adrenal veins.

In this exhibit we examine the different clinical and radiological scenarios in which a specific exam of the adrenals is necessary, proposing a diagnostic algorithm for each situation with recommendations on technical aspects for the approppriate radiological exams in each case, and reviewing the key radiological and clinical features of the main adrenal lesions that will allow a correct diagnosis of these lesions.  

 

1.- INCIDENTALOMA 

 

DEFINITION: incidentally found adrenal...

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diagnostic algorithm incidentaloma (fig1)
myelolipoma (fig 2)


Conclusions

With this exhibit we intend to offer knowledge of the essential radiological and clinical aspects of adrenal conditions that will allow radiologists play a fundamental role in the management of these diseases

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