Management of Radiology Incidental Findings in the Adrenal Glands

Based on recommendations by the American College of Radiology (ACR), published as guidelines (white papers)
incidental-adrenal
How are the imaging features?
What is the maximal dimension of the finding?
How has this finding changed compared to prior imaging?
Does the patient have history of cancer?

Recommendation:

Consider resection

Recommendation:

Consider biopsy or PET-CT

Recommendation:

Consider biopsy or PET-CT

Recommendation:

Consider resection or further evaluation with adrenal-dedicated CT or MRI

 

Click here to visit the CT adrenal washout calculator

Click here to visit the
MRI adrenal chemical shift calculator

Recommendation:

Further evaluation with adrenal-dedicated CT or MRI

Click here to visit the CT adrenal washout calculator

Click here to visit the MRI adrenal chemical shift calculator

Recommendation:

Further evaluation with adrenal-dedicated CT or MRI

Click here to visit the CT adrenal washout calculator

Click here to visit the MRI adrenal chemical shift calculator

Recommendation:

Consider follow-up with adrenal-dedicated CT or MRI in 1 year

Click here to visit the CT adrenal washout calculator

Click here to visit the MRI adrenal chemical shift calculator

Recommendation:

No further imaging

Click here to visit the incidental findings page on ACR.

References:

  1. Mayo-Smith WW, Song JH, Boland GL, et al. Management of Incidental Adrenal Masses: A White Paper of the ACR Incidental Findings Committee. J Am Coll Radiol. 2017;14(8):1038-1044. doi:10.1016/j.jacr.2017.05.001

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