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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 4 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 4

From: Adrenal incidentalomas: imaging challenges—role of MDCT scan versus MRI in evaluating adrenal incidentalomas

Fig. 4

A 60-year-old male patient complaining of progressive hematuria was diagnosed by cystoscopy and histopathology to have bladder carcinoma. a Precontrast and b Post-contrast MDCT abdomen axial images showing bilateral hypodense suprarenal nodules measuring 1.6 cm on the right side and 1.7 cm on the left one along their maximum diameter. RPW = 63% on both sides. MRI suprarenal protocol (c) axial T1 (d) axial T2 showing bilateral suprarenal nodules of intermediate signal in both sequences. e, f in phase and out of phase images showing differential and remarkable loss of signal in the opposed phase images denoting intracytoplasmic fat, along with their small size favoring the diagnosis of lipid-rich adenomas. Diagnosis was further proven by PET CT showing no suprarenal metastasis

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