Adrenal myelolipoma

Case contributed by Md Imdadul Islam , 12 Nov 2021
Diagnosis almost certain
Changed by Mohamed Saber, 20 Nov 2021

Updates to Case Attributes

Status changed from pending review to published (public).
Published At was set to .
Presentation was changed:
Vague abdominal pain.
Body was changed:

A T1/T2 hyperintense lesion in the suprarenal region showing suppression on STIR imaging in the suprarenal region. The left adrenal is not separately visualized from the lesion. Few T1 hypointense septations noted which appear hyperintense on STIR suggest myeloid component.Above. Above mentioned imaging features are almost consistent with myelolipoma.

Other differential diagnoses are retroperitoneal lipoma, well-differentiated liposarcoma, and fat-containing-rich adenoma.

  • -<p>A T1/T2 hyperintense lesion showing suppression on STIR imaging in the suprarenal region. The left adrenal is not separately visualized from the lesion. Few T1 hypointense septations noted which appear hyperintense on STIR suggest myeloid component.Above mentioned imaging features are consistent with <a href="/articles/adrenal-myelolipoma">myelolipoma.</a></p><p>Other differential diagnoses are retroperitoneal lipoma, well-differentiated liposarcoma, and fat-containing adenoma.</p>
  • +<p>A T1/T2 hyperintense lesion in the suprarenal region showing suppression on STIR imaging. The left adrenal is not separately visualized from the lesion. Few T1 hypointense septations noted which appear hyperintense on STIR suggest myeloid component. Above mentioned imaging features are almost consistent with <a href="/articles/adrenal-myelolipoma">myelolipoma.</a></p><p>Other differential diagnoses are retroperitoneal lipoma, <a title="Retroperitoneal liposarcoma" href="/articles/retroperitoneal-liposarcoma-2">well-differentiated liposarcoma</a>, and <a title="Adrenal adenoma" href="/articles/adrenal-adenoma">fat-rich adenoma.</a></p>

Updates to Study Attributes

Findings was changed:

Transverse grayscale and colour doppler ultrasound showing a heteroechoichetero-echoic lesion in the left suprarenal region showing no vascularity on the colour doppler study.

Updates to Study Attributes

Findings was changed:

A T1/T2 hyperintense well-defined lesion measuring approx. 7.5x5.3cm.3 cm is noted in the left suprarenal region causing compression and inferior displacement of the left kidney. On STIR imaging the lesion appears hypointense suggest fatty nature. Few T1 hypointense septations are noted within the lesion which appears hyperintense on STIR. No restricted diffusion is noted on DWI.

Images Changes:

Image MRI (T1) ( update )

Specifics changed from T2 to T1.

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