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.