Bilateral adrenal lesions


  • Conflict of interest: None delclared.


Dr Ashu Bhalla, Department of Radiodiagnosis, All India Institute of Medical Sciences, Flat no. 714, Sector 29, NOIDA, Gautam Budh Nagar 201303, India.



Bilateral adrenal lesions include a spectrum of disorders: neoplastic disorders (metastases, lymphoma, bilateral phaeochromocytoma, adrenocortical carcinoma and myelolipoma); longstanding congenital adrenal hyperplasia and macronodular adrenal hyperplasia; infections such as tuberculosis, histoplasmosis and blastomycosis; adrenal haemorrhage; adrenals in hypoperfusion complex and paediatric masses. Bilateral distribution in addition to other imaging characteristics can help narrow differential diagnoses in case of adrenal masses. We present a pictorial review highlighting the adrenal lesions that can present bilaterally.