myRadiologist

Symptom

Incidental adrenal nodule

ConsiderationsRichard Wasley, MD

Adrenal nodules could be discovered incindentally by CT, MR or US. Finding fat density within the nodule important to determine benignity. CT and MR (without contrast) very good for this.

Nuclear renal or MIBG scan, ultrasound, MRI with contrast, PET or biopsy not generally initialy needed.

§Suggested imagingIn listed order

  1. 01MRI abdomen with gadoliniumCPT 74183
  2. 02MRI abdomen without gadoliniumCPT 74181
  3. 03CT multiphase adrenal glandCPT 74170
  4. 04CT abdomen without IV or oral contrastCPT 74150