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Fig. 7B. 50-year-old man with left aldosterone-producing adenoma
diagnosed on adrenal venous sampling and histology after surgery but
incorrectly diagnosed by radiologist as bilateral adrenal hyperplasia.
Unenhanced CT image of left adrenal gland shows its limbs (straight
arrow) appear hyperplastic. However, mean limb width of both glands is
4.3 mm and algorithm suggests adrenal venous sampling. In retrospect, slightly
nodular appearance of medial limb (curved arrow) could represent
missed adenoma.