IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Adrenal myelolipoma (pathology)

Case contributed by Andrew Ryan
Diagnosis certain

Presentation

Incidental large right adrenal mass.

Patient Data

Age: 50 years
Gender: Female

Removed surgically

pathology

Macro: Adrenal gland 75 x 50 x 45 mm and 90 g with thin yellow cortex and central dark red/brown to gelatinous lesion, up to 70 mm. 

Macroscopic: The findings are classical with central congested, red to brown lesion and thin residual rim of yellow adrenal cortex.

Microscopic: The histology nicely demonstrates the component tissues including:

  • lipid vaculoes (these are actually empty holes in histological sections as the lipid is 'washed out' during routine processing. 
  • hematological elements including myeloid, erythroid and megakaryocytic

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.