ADRENAL MASS
(last updated 04/09/13, last reviewed 05/24/2023)
(last updated 04/09/13, last reviewed 05/24/2023)
INDICATION: Adrenal mass.
GIVE CONTRAST IF: history of malignancy, r/o metastatic disease, adrenal carcinoma, pheochromocytoma.
CONTRAST DOESN'T NEED TO BE GIVEN IF FOLLOW UP FOR BENIGN ADENOMA OR MYELOLIPOMA.
SEQUENCES
Cor HASTE
Cor in/out phase FLASH T1
Ax in/out phase FLASH T1
Ax fat sat TSE T2 breath hold
Ax HASTE
Ax TSE T2 breath hold
Ax VIBE T1 (fat sat) pre
+/-CONTRAST (SEE ABOVE)
Ax VIBE T1 (fat sat) 20 sec post
Ax VIBE T1 (fat sat) 90 sec post
Ax VIBE T1 (fat sat) 180 sec post
Cor VIBE T1 (fat sat) post
If for evaluation of pheochromocytoma or symptoms while voiding, add through (precontrast) pelvis:
Ax in/out phase FLASH T1
Ax fat sat TSE T2
Ax fat sat HASTE