CT in the Workup of Patients with Adrenal Incidentaloma

Dr. Samarth Solanki, Dr. Maulik Jethva, Dr. Anjana Trivedi, Dr. Sahil Patel

Abstract: An adrenal "incidentaloma" (Al) is an adrenal mass, which is discovered serendipitously during a radiologic examination performed for indications other than for evaluation of an adrenal disease which is increasing frequency due to the widespread application of non-invasive, high-resolution techniques. Incidentalomas could be associated with some of the most common clinical syndromes of adrenal hormonal overproduction (hyperaldosteronism, hypercortisolism, or phaeochromocytoma); the majority of them, however are clinically silent. The need for discovering these incidentalomas and characterizing them on imaging is crucial, so that they can be managed accordingly. These Al masses need to be discovered on CT, which will lead to further evaluation and better management of these conditions, which would otherwise be diagnosed wrongly as essential diabetes or essential hypertension and inevitably treated for life. Conclusion: Clinically silent adrenal masses ('Incidentalomas') are discovered incidentally during diagnostic testing or treatment for clinical conditions that are not related to suspicion of adrenal disease. The widespread use of high-resolution anatomic imaging techniques such as computed tomography (CT) and magnetic resonance (MR) imaging has led to the increased detection of these masses. When an adrenal incidentaloma is discovered, two main concerns need to be addressed. First, these lesions must be defined as benign or malignant. Second, it is important to define whether this adrenal mass is hormonally active or hormonally inactive.

Keywords: Adrenal incidentaloma, benign, malignant, computed tomography, adenoma, non-adenoma

How to Cite?: Dr. Samarth Solanki, Dr. Maulik Jethva, Dr. Anjana Trivedi, Dr. Sahil Patel, "CT in the Workup of Patients with Adrenal Incidentaloma", Volume 14 Issue 7, July 2025, International Journal of Science and Research (IJSR), Pages: 148-158, https://www.ijsr.net/getabstract.php?paperid=SR25701155634, DOI: https://dx.doi.org/10.21275/SR25701155634