Cross-sectional imaging features of unusual adrenal lesions: a radiopathological correlation

Abdom Radiol (NY). 2021 Aug;46(8):3974-3994. doi: 10.1007/s00261-021-03041-8. Epub 2021 Mar 18.


The detection rates of adrenal masses are increasing with the common and widespread use of cross-sectional imaging. Adrenal adenomas, myelolipomas, metastases, pheochromocytomas, and adrenocortical tumors are well-known and relatively common adrenal tumors. However, there are many less-known neoplastic and nonneoplastic adrenal diseases that might affect the adrenal glands in addition to these common lesions. These rare entities include, but are not limited to, hydatid cysts, congenital adrenal hyperplasia, Wolman disease, adrenal tuberculosis, primary adrenal lymphoma. This article aims to present imaging findings of these unusual lesions in accordance with their pathologic characteristics. We think that the simultaneous presentation of the pathological findings with the imaging features may facilitate the learning process and may potentially enhance the recognition of these entities.

Keywords: Adrenal glands; Cross-sectional imaging; Diagnostic imaging; Radiopathological correlation.

Publication types

  • Review

MeSH terms

  • Adrenal Cortex Neoplasms*
  • Adrenal Gland Neoplasms* / diagnostic imaging
  • Adrenal Glands / diagnostic imaging
  • Adrenocortical Adenoma*
  • Diagnostic Imaging
  • Humans