Hemorrhagic adrenal metastases: CT findings.
Adrenal hemorrhage secondary to metastases is uncommon. We have encountered four such cases that presented as large adrenal masses. In all cases the CT findings were of an inhomogeneous mixed-density adrenal mass with extensive perirenal changes suggestive of perirenal hemorrhage or mass. When such a lesion is seen, hemorrhagic adrenal metastases should be considered. Fluid may be of high density, suggestive of hemorrhage. However, as the adrenal is in the perinephric space, hemorrhage from any cause (trauma, metastases, or anticoagulant) in the adrenal gland will gravitate into the perinephric space.
Shah
H R
HR
Department of Radiology, University of Arkansas for Medical Sciences, Little Rock 72205.
Love
L
L
Williamson
M R
MR
Buckner
B C
BC
Ferris
E J
EJ
D000230:Adenocarcinoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000556:secondary; D000307:Adrenal Gland Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000556:secondary; D000368:Aged; D018288:Carcinoma, Small Cell / Q000150:complications* / Q000000981:diagnostic imaging / Q000556:secondary; D006470:Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008175:Lung Neoplasms; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed