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Friday, April 30, 2010

adrenal hemorrhage

hyperdense adrenal lesion

D.D. of bilateral adrenal masses:
A)with cystic density:
1-simple adrenal cyst
2-complicated cyst such as
-adrenal metastases.
-calcified adrenal cyst.
3-histoplasmosis.
4-TB - or + calcification
5-non functioning adrenal adenoma.
B)with soft tissue density:
-adrenal metastases.
-lymphoma.
-pheochromocytoma in MEN 2 b(central necrosis).
C)with fat density:
-myelolipoma - or + hemorrhage.
D)blood density:
1-adrenal hemorrhage.

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