Adrenal Myelolipoma

Ray Ballinger, MD, PhD

Straub Clinic and Hospital

rballinger at straub.net

Abstract

62 y/o man with lung mass found on chest x-ray. CT scan during workup of the lung mass shows an incidental adrenal mass.

Keywords

Abdomen CT


Publication Date: 13 February 2004
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History and Images

62 y/o man with lung mass found on chest x-ray

click to enlargeclick to enlarge

Findings and Diagnosis

A well-circumscribed fatty mass is seen in the right adrenal gland on these contrast enhanced images. This is most consistent with a benign myelolipoma. The differential diagnosis would include a benign lipoma which is less commonly seen.

The image below was obtained 3 months later showing a stable appearance to the mass.

Discussion

Myelolipomas are relatively rare benign adrenal masses containing fat and hematopoetic elements. Occasionally they occur elsewhere in the retroperitoneum.