Adrenal adenoma with organizing hematoma: Diagnostic dilemma at MRI

Kousei Ishigami, Alan H. Stolpen, Yutaka Sato, Laila Dahmoush, Howard N. Winfield, Laurie L. Fajardo

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

We report a case of adrenal adenoma with organizing hematoma mimicking hemangioma on magnetic resonance imaging (MRI). The lesion demonstrated heterogeneous hyperintensity on heavily T2-weighted images. On dynamic contrasted-enhanced MRI, the lesion demonstrated early, patchy peripheral enhancement with subsequent fill-in that persisted. Chemical shift gradient-echo images failed to demonstrate the presence of intracellular lipid. Magnetic resonance imaging failed to characterize the lesion, and an erroneous preoperative diagnosis of adrenal hemangioma was made. Although the MRI findings reflected the organized hematoma with abundant vascular spaces, our case emphasizes the point that the MRI characteristics of intratumoral hemorrhage may overlap with those of adrenal hemangioma and chronic expanding hematoma.

Original languageEnglish
Pages (from-to)1157-1159
Number of pages3
JournalMagnetic Resonance Imaging
Volume22
Issue number8
DOIs
Publication statusPublished - Oct 1 2004
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Biophysics
  • Biomedical Engineering
  • Radiology Nuclear Medicine and imaging

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    Ishigami, K., Stolpen, A. H., Sato, Y., Dahmoush, L., Winfield, H. N., & Fajardo, L. L. (2004). Adrenal adenoma with organizing hematoma: Diagnostic dilemma at MRI. Magnetic Resonance Imaging, 22(8), 1157-1159. https://doi.org/10.1016/j.mri.2004.03.001