MDCT and Gd-EOB-DTPA Enhanced MRI Findings of Adrenal Adenoma Arising from an Ectopic Adrenal Gland within the Liver: Radiologic-Pathologic Correlation.
10.3348/kjr.2010.11.1.126
- Author:
Jeong Hee YOON
1
;
Se Hyung KIM
;
Min A KIM
;
Joon Koo HAN
;
Byung Ihn CHOI
Author Information
1. Department of Radiology, Seoul National University Hospital, Seoul 110-744, Korea. shkim@radcom.snu.ac.kr
- Publication Type:Case Report
- Keywords:
Adrenal adenoma;
Ectopic adrenal gland;
Liver;
Multi-detector computed tomography (MDCT);
Magnetic resonance (MR)
- MeSH:
Adrenal Cortex Neoplasms/*diagnosis;
Adrenal Glands;
Adrenocortical Adenoma/*diagnosis;
Carcinoma, Hepatocellular/diagnosis;
Choristoma/*diagnosis;
*Contrast Media;
Diagnosis, Differential;
Gadolinium DTPA/*diagnostic use;
Humans;
Liver Neoplasms/*diagnosis;
*Magnetic Resonance Imaging;
Male;
Middle Aged;
*Tomography, X-Ray Computed
- From:Korean Journal of Radiology
2010;11(1):126-130
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of an adenoma arising from an ectopic adrenal gland mimicking a hepatocellular carcinoma in a heavy alcohol abuser. A MDCT showed a 2.7 low-attenuating nodule in segment VII of the liver through all CT phases. Compared to a precontrast image, however, a subtle enhancement was noted on the arterial phase CT image. On T1 weighted in- and opposed-phase MR images, an abundant fat component within the lesion was seen. Dynamic contrast-enhanced MR images after administration of gadolinium ethoxybenzyl diethylenetriaminepentaacetic acid (Gd-EOB-DTPA) more clearly depicted hypervascularity and wash-out of the lesion on arterial and portal phases, respectively. On delayed hepatobiliary phase MR images, obtained 20 minutes after Gd-EOB-DTPA administration, subtle uptake or retention of the contrast agent by the lesion was suspected. A tumorectomy was performed and adrenal adenoma from an ectopic adrenal gland within the liver was confirmed.
