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AJR Am J Roentgenol. 2012 Jul;199(1):W91-8. doi: 10.2214/AJR.11.7973.

Imaging of nontraumatic adrenal hemorrhage.

Author information

1
Department of Radiology, University of California San Francisco, Box 0628, M-372, 505 Parnassus Ave, San Francisco, CA 94143-0628, USA.

Abstract

OBJECTIVE:

The purpose of this pictorial essay is to review the imaging findings of acute, chronic, and tumor-related nontraumatic adrenal hemorrhage.

CONCLUSION:

Rapid development or evolution of a nonenhancing adrenal mass or masses with an adreniform shape or high T1 signal intensity on MR images of a patient under stress or with a bleeding diathesis, including anticoagulant use, suggests acute adrenal hemorrhage. Chronic hemorrhage appears as a thin-walled pseudocyst or atrophy. Imaging findings that may indicate underlying tumor include intralesional calcification, enhancement, and hypermetabolic activity on PET images.

PMID:
22733936
DOI:
10.2214/AJR.11.7973
[Indexed for MEDLINE]

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