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. 2013 Dec 20;35(2):282–326. doi: 10.1210/er.2013-1029

Table 4.

Imaging Characteristics of ACC

Lesion Characteristics ACC ACA
Size >4 cm <4 cm
Necrosis +
Hemorrhage +
Calcification +/−
CT density Heterogeneous, >10 HU Homogeneous, <10 HU
Chemical-shift MRI Heterogeneous signal drop +/− Homogeneous signal drop
Contrast enhancement Heterogeneous, absolute % washout <60% Homogeneous, absolute % washout >60%
SUV on [18F]FDG-PET/CT Adrenal to liver SUV ratio >1.45 Adrenal to liver SUV ratio <1.45