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Radiology

Adrenal Glands and Kidneys

Built from Fundamentals of Diagnostic Radiology

What’s inside

17 sections · 143 slides

  1. 01

    Overview

    • Topic overview

    1 slide

  2. 02

    Adrenal Imaging Methods

    How adrenal nodules are studied

    • The challenge of adrenal imaging
    • The adrenal imaging toolbox

    2 slides

  3. 03

    Adrenal Anatomy

    Cortex, medulla, location, and normal appearance

    • Adrenal cortex and medulla
    • Where the adrenal glands sit
    • Adrenal shape and size on imaging
    • Normal adrenal glands on CT and MR
    • Fat in the adrenal: two MR tricks
    • Adrenal pseudotumors

    6 slides

  4. 04

    The Incidental Adrenal Mass

    Characterizing a nodule found by chance

    • What an incidental adrenal mass usually is
    • Imaging findings of malignant and benign adrenal lesions
    • Imaging findings of malignant and benign adrenal lesions (continued)
    • What an incidental nodule can be
    • Adrenal cortical adenomas
    • Lipid-rich versus lipid-poor adenomas
    • Adrenal metastases
    • Adrenal metastasis from lung cancer
    • Stability over time
    • Clinical evaluation of the nodule
    • MDCT: the +10 HU rule
    • Lipid-rich adrenal adenoma on unenhanced CT
    • MDCT: contrast washout
    • Adenoma versus metastasis washout
    • Adrenal nodule percentage washout formulas
    • Lipid-poor adrenal adenoma: CT washout
    • Bilateral adrenal metastases
    • MR characterization of adrenal nodules
    • Lipid-rich adrenal adenoma on chemical shift MR
    • PET-CT characterization
    • Adrenal metastasis on PET-CT
    • When a nodule stays unclassified

    22 slides

  5. 05

    Adrenal Endocrine Syndromes

    Cushing, Conn, adrenogenital, Addison, pheochromocytoma

    • Cushing syndrome
    • Conn syndrome
    • Adrenogenital syndrome
    • Addison disease
    • Pheochromocytoma
    • Pheochromocytoma: the rule of tens
    • Incidental pheochromocytoma
    • Pheochromocytoma with spontaneous hemorrhage
    • Imaging pheochromocytoma
    • Pheochromocytoma in the bladder wall
    • Nuclear imaging of pheochromocytoma

    11 slides

  6. 06

    Benign Adrenal Lesions

    Hyperplasia, myelolipoma, hemorrhage, cyst, ganglioneuroma

    • Adrenal hyperplasia
    • Adrenal hyperplasia
    • Adrenal myelolipoma
    • Adrenal myelolipoma
    • Adrenal hemorrhage
    • Adrenal hemorrhage
    • Adrenal calcification
    • Adrenal calcification after infantile hemorrhage
    • Adrenal cysts
    • Posthemorrhagic adrenal cyst
    • Ganglioneuroma

    11 slides

  7. 07

    Malignant Adrenal Lesions

    Carcinoma, lymphoma, and collision tumor

    • Adrenal carcinoma
    • Adrenal carcinoma: staging clues
    • Adrenal carcinoma
    • Lymphoma and collision tumor

    4 slides

  8. 08

    Kidney Imaging Methods

    CT urogram, MR urogram, and ultrasound

    • CT urogram
    • CT urogram phases in order
    • Conventional urogram versus CT urogram
    • MR urogram
    • MR urogram
    • Ultrasound of the kidney

    6 slides

  9. 09

    Kidney Anatomy

    Lobes, calyces, arteries, and perirenal space

    • Kidney lobes and cortex
    • Calyces and pelvis
    • Renal arteries
    • Renal arterial branching
    • Capsule and perirenal space

    5 slides

  10. 10

    Congenital Renal Anomalies

    Agenesis, horseshoe kidney, and crossed ectopia

    • Renal agenesis
    • Horseshoe kidney
    • Horseshoe kidney
    • Crossed-fused renal ectopia

    4 slides

  11. 11

    Solid Renal Masses

    Renal cell carcinoma, AML, oncocytoma, lymphoma, metastases

    • Renal cell carcinoma
    • The renal cell carcinoma family
    • Renal cell carcinoma
    • Renal cell carcinoma staging
    • Renal cell carcinoma on CT
    • Cystic renal cell carcinoma
    • Renal vein and IVC thrombus
    • Renal vein and IVC tumor thrombus
    • Renal cell carcinoma on MR and US
    • Multicystic renal cell carcinoma
    • Angiomyolipoma (AML)
    • Angiomyolipoma on CT and MR
    • Angiomyolipoma on CT
    • Angiomyolipoma on MR
    • Oncocytoma
    • Oncocytoma
    • Renal lymphoma
    • Renal lymphoma
    • Metastases to the kidney
    • Metastases to the kidney

    20 slides

  12. 12

    Cystic Renal Masses

    Simple cyst, the Bosniak system, abscess, cystic nephroma

    • Simple renal cyst
    • Simple renal cyst
    • The Bosniak classification
    • Bosniak categories at a glance
    • Bosniak I and II
    • Complicated renal cyst (Bosniak II)
    • Bosniak IIF and III
    • Bosniak IV and small lesions
    • Renal abscess
    • Renal abscess
    • Multilocular cystic nephroma
    • Multilocular cystic nephroma

    12 slides

  13. 13

    Renal Cystic Disease

    Inherited and acquired cystic kidney diseases

    • Autosomal dominant polycystic kidney disease
    • Autosomal dominant polycystic kidney disease
    • Multiple simple cysts versus polycystic disease
    • von Hippel-Lindau disease
    • Tuberous sclerosis
    • Acquired uremic cystic kidney disease
    • Acquired uremic cystic kidney disease
    • Autosomal recessive polycystic kidney disease
    • Autosomal recessive polycystic kidney disease
    • Medullary sponge kidney
    • Medullary sponge kidney with nephrocalcinosis
    • Uremic medullary cystic disease
    • Multicystic dysplastic kidney
    • Multicystic dysplastic kidney

    14 slides

  14. 14

    Renal Vascular Diseases

    Arteriovenous malformations and fistulas

    • Renal AVMs and fistulas
    • Renal arteriovenous malformation

    2 slides

  15. 15

    Renal Infections

    Pyelonephritis and its complications

    • Acute pyelonephritis
    • Acute pyelonephritis
    • Pyelonephritis complications
    • Perirenal abscess
    • Emphysematous pyelonephritis
    • Emphysematous pyelonephritis
    • Chronic pyelonephritis and reflux nephropathy
    • Reflux nephropathy
    • Xanthogranulomatous pyelonephritis
    • Xanthogranulomatous pyelonephritis
    • Renal tuberculosis
    • End-stage renal tuberculosis (putty kidney)

    12 slides

  16. 16

    Renal Parenchymal Disease

    Renal failure and HIV-associated kidney disease

    • Imaging in renal failure
    • HIV-associated renal disease
    • HIV nephropathy

    3 slides

  17. 17

    Nephrocalcinosis

    Calcium deposition in the renal parenchyma

    • Cortical nephrocalcinosis
    • Medullary nephrocalcinosis
    • Causes of medullary nephrocalcinosis
    • Key takeaways
    • Suggested readings
    • Suggested readings
    • Suggested readings
    • Brant and Helms' Fundamentals of Diagnostic Radiology

    8 slides