Adrenal Hemangioma Definite Diagnosis on CT, MRI, and FDG PET in a Patient with Primary Lung Cancer

Benjamin Wilson, Allison Becker, Thomas Estes, Jayanth Keshavamurthy, Darko Pucar

Research output: Contribution to journalArticle

Abstract

Distinguishing adrenal incidentalomas (5% of all abdominal CT scans) from metastasis is a frequent diagnostic challenge in primary malignancies with a propensity for adrenal spread, such as lung cancer. Adrenal myelolipoma and adenoma can be definitively characterized as benign by demonstrating gross and microscopic fat, respectively, on CT and MRI and an absence of abnormal uptake on PET. Unfortunately, adrenal sampling is frequently necessary in indeterminate cases for adequate staging of extra-adrenal primary malignancy. We present a lung cancer case in which definite characterization of a rare adrenal hemangioma with CT, PET, and MRI avoided unnecessary adrenal sampling.

Original languageEnglish (US)
Pages (from-to)e192-e194
JournalClinical Nuclear Medicine
Volume43
Issue number6
DOIs
StatePublished - Jun 1 2018

Keywords

  • Adenoma
  • Adrenal
  • CT
  • FDG PET
  • Hemangioma
  • MRI

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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