Adrenal mass. Adrenal protocol CT. >10 HU. APW <60% or RPW <40%.
ACR White Paper recommendations (Mayo-Smith, et al. J Am Coll Radiol 2017;14:1038-1044) suggest the following: Further evaluation with follow-up adrenal protocol CT, PET-CT, biopsy or surgical resection recommended depending on the clinical scenario. Consider biochemical evaluation to exclude pheochromocytoma before biopsy/resection.
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