Table 1.
Year of surveillance | Density | Enhancement pattern | Absolute washout | Size | Reported conclusion |
---|---|---|---|---|---|
0 | 8 mm | Most likely an adenoma. | |||
0 | Stable small right adrenal nodule, too small to characterise. | ||||
1 | Unchanged | Right adrenal is unchanged with only slight bulkiness. | |||
2 | 3 HU (non-contrast) | 10 × 6 mm, unchanged | Right adrenal nodule is unchanged, likely an adenoma. | ||
3 | 30 HU pre-contrast, 73 HU arterial phase, 102 HU portal venous phase and 42 HU delayed phase | 72% | Unchanged | Stable small right adrenal lesion. The stability and absolute washout are in keeping with an adenoma. | |
4 | Consistent with adenoma | Consistent with adenoma | Unchanged | Small right adrenal lesion, corresponding to an adenoma. Unchanged in size. | |
5 | Consistent with adenoma | Consistent with adenoma | Unchanged | Stable right adrenal adenoma. | |
7 | 32 HU pre-contrast, 60 HU in arterial/portal venous/delayed phases | 0% | 66 × 49 mm | Significant increase in size of the right adrenal mass since previous scan. |
CT, computed tomography; HU, Hounsfield units.