File:Adrenal cortical carcinoma (Radiopaedia 64017-72770 I 29).jpg

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Summary:

Description	Radiopaedia case ID: 64017 Image ID: 43372264 Image stack position: 29/72 Plane projection: Axial Aux modality: T1 C+ fat sat Study findings: There is a large right adrenal mass that is bilobed in appearance. There is an anterosuperior focus of calcification or hemorrhage. There is prominent enhancement with band-like central stroma with enhancement also present on delayed imaging. The mass demonstrates abnormally restricted diffusion. No loss of signal on in and out-of-phase T1 imaging. Modality: MRI System: Oncology Findings: Large right adrenal mass lesion. This lesion is relatively well demarcated and abuts the posterior margin of the IVC, medial margin of the liver and lateral margin of right hemidiaphragm crura. There is no evidence of local invasion. The more prominently enhancing posterosuperior component measures 29 HU on non-contrast, 84 HU on portal venous and 43 HU on delayed phase - calculating to 74% absolute washout and 49% relative washout. The anterior component has less prominent enhancement and measures 35 HU on non-contrast, 59 HU on portal venous and 43 HU on delayed - calculating to 66% absolute washout and 27% relative washout. Normal left adrenal gland. No hepatic mass. No lymphadenopathy.
Date	Published: 31st Oct 2018
Source	https://radiopaedia.org/cases/adrenal-cortical-carcinoma-5
Author	Henry Knipe
Permission (Permission-reusing-text)	http://creativecommons.org/licenses/by-nc-sa/3.0/

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current	13:45, 25 April 2021		320 × 260 (27 KB)	Fæ (talk \| contribs)	Radiopaedia project rID:64017 (batch #1322-494 I29)

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