Adrenal incidentalomas: imaging challenges—role of MDCT scan versus MRI in evaluating adrenal incidentalomas

Abstract Background The term adrenal incidentaloma (AI), by definition, is an mass that unexpectedly detected through imaging procedure performed for reasons unrelated to dysfunction or suspected dysfunction. Despite their frequent appearance, the challenge remains in recognizing and treating small percentage of AI poses a significant risk, either because hormonal activity malignant histology. aim this study role MRI, specifically chemical shift (CSI), against various MDCT scans (non-enhanced, enhanced, delayed) characterization incidentally discovered masses offer way patients avoid unnecessary time money-wasting modalities used reach diagnosis lesions. We examined total number 20 with 22 mean age was 51.1 ± 15.27. Results In our study, we found among CT parameters, APW RPW showed highest sensitivity specificity detection lipid-rich adenomas. CSI has also proven be best MR technique. However, there no statistically difference diagnostic capability versus washout Both could conducted, according specific patient preferences and/or limitations, comparable highly accurate outcomes. Conclusion This demonstrates similar outcome obtained from contrast-enhanced (CECT) MRI