Adrenocortical carcinoma MRI

Adrenocortical carcinoma Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2]

Overview

MRI scans are helpful in differentiating between adrenal adenoma, carcinoma and metastatic lesions.

MRI Findings in adrenocortical carcinoma

• Adrenocortical carcinomas are usually large and appear as heterogeneous masses on both T1- and T2-weighted images owing to the presence of internal hemorrhage and necrosis.
• Adrenocortical carcinoma can contain foci of intracytoplasmic lipid, which results in a loss of signal intensity on out-of-phase images.
• Large adrenal carcinomas tend to invade the adrenal vein and inferior vena cava.

MRI Examples of adrenocortical carcinoma

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