Case 29
Clinical Presentation
A 52-year-old man with bronchogenic carcinoma. Magnetic resonance imaging was performed for evaluation of an adrenal nodule seen on computed tomography.
Imaging Findings
(A) In-phase T1-weighted magnetic resonance imaging (MRI) of the abdomen at the level of the adrenal gland shows a nodule (arrow) in the left adrenal gland. It is of intermediate signal intensity. (B) Opposed-phase T1-weighted MRI of the abdomen at the same level as Figure A shows that the adrenal nodule (arrow) maintains its signal. No loss of signal has been demonstrated. (C) Fat-saturated T2-weighted MRI of the abdomen at the same level as Figures A and B shows that the left adrenal nodule (arrow) has homogeneous intermediate signal intensity. It does not show fluid.
Differential Diagnosis
• Adrenal metastasis:
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