Incidentally discovered adrenal mass?
Summary:
No history of malignancy, 1-4 cm, initial evaluation = CT ABD/PEL without contrast (then with if needed) or MRI abdomen and pelvis without contrast
No history of malignancy, 1-4 cm, follow up evaluation, if indeterminate on first scan = CT or MRI abdomen and pelvis without contrast (Asses change in 12 months)
No history of malignancy, Larger than 4 cm = CT or MRI abdomen and pelvis with contrast, pre-surgical evaluation
History of malignancy, Less than 4 cm, initial evaluation = discuss with rads (Either CT without contrast, CT with, MRI without or PET).
History of malignancy, Larger than 4 cm, initial evaluation = biopsy or PET.
As always, please refer to the source Appropriateness Criteria created by the American College of Radiology, here.
Educational purposes for licensed providers.
Note to Patients:
Radiology is a very large and ever changing field and this post is to help your provider. When combined with a thorough history and physical exam, this information can be very useful. Your provider is best suited to answer specific questions regarding this post.
A provider is usually a Nurse Practitioner, Physician Assistant or Medical Doctor.
Of course, this is not a substitute for medical care.
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