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Bilateral adrenal myelolipoma

Case contributed by Ayaz Hidayatov
Diagnosis possible

Presentation

Abdominal pain. No past medical history.

Patient Data

Age: 40 years
Gender: Female

Non-contrast axial CT reveals a well-circumscribed oval fat-containing masses in both adrenal glands. There is no solid component, calcifications, and hemorrhage. The masses have a thin capsule.

Findings most keeping with bilateral adrenal myelolipoma.

Case Discussion

Adrenal myelolipomas are rare usually non-functioning tumors and they often found incidentally. Myelolipomas composed of fat and hemopoietic cells surrounding by a thin capsule. In most cases they are unilateral. 

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