CT of adrenal incidentalomas

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Incidentalomas

Adrenal masses discovered incidentally ("incidentalomas") have the following workup by Swedish national guidelines:[1]

Features Workup
Size < 1 cm No radiologic workup needed (but biochemical screening may be indicated if clinical suspicion of being hormonally active)
Size 1 to 4 cm Attenuation ≤10 HU
Attenuation >10 HU Without IV contrast CT after 6 months, then stop if size is unchanged
On contrast CT CT without contrast as either:
  • Within 1 month for attenuation value
  • After 6 months for size control

References

  1. ↑ . Utredning av binjureincidentalom (Workup of adrenal incidentalomas). Swedish Society of Radiology.


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