Diagnostics (Sep 2022)

Adrenal Lesions: A Review of Imaging

  • Benedetta Bracci,
  • Domenico De Santis,
  • Antonella Del Gaudio,
  • Maria Carla Faugno,
  • Allegra Romano,
  • Mariarita Tarallo,
  • Marta Zerunian,
  • Gisella Guido,
  • Michela Polici,
  • Tiziano Polidori,
  • Francesco Pucciarelli,
  • Iolanda Matarazzo,
  • Andrea Laghi,
  • Damiano Caruso

DOI
https://doi.org/10.3390/diagnostics12092171
Journal volume & issue
Vol. 12, no. 9
p. 2171

Abstract

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Adrenal lesions are frequently incidentally diagnosed during investigations for other clinical conditions. Despite being usually benign, nonfunctioning, and silent, they can occasionally cause discomfort or be responsible for various clinical conditions due to hormonal dysregulation; therefore, their characterization is of paramount importance for establishing the best therapeutic strategy. Imaging techniques such as ultrasound, computed tomography, magnetic resonance, and PET-TC, providing anatomical and functional information, play a central role in the diagnostic workup, allowing clinicians and surgeons to choose the optimal lesion management. This review aims at providing an overview of the most encountered adrenal lesions, both benign and malignant, including describing their imaging characteristics.

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