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Adrenocortical Carcinoma: Contrast Washout Characteristics on CT

James M. A. Slattery1, Michael A. Blake1, Mannudeep K. Kalra2, Joseph Misdraji3, Ann T. Sweeney4, Paul M. Copeland5, Peter R. Mueller1 and Giles W. Boland1

1 Department of Abdominal Imaging and Interventional Radiology, Massachusetts General Hospital, 55 Fruit St., White 270C, Boston, MA 02114.
2 Department of Radiology, Emory University Hospital, Alanta, GA.
3 Department of Pathology, Massachusetts General Hospital, Boston, MA.
4 St. Elizabeth's Medical Center, Boston, MA 02135.
5 Endocrine Unit, Department of Medicine, Massachusetts General Hospital, Boston, MA.


Figure 1
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  		Fig. 1A —Left adrenocortical carcinoma in 54-year-old woman. Axial contrast-enhanced CT images show attenuation value measured with region of interest (oval) over uniformly enhanced solid component of lesion to avoid lateral necrotic low-attenuation component. Dev = deviation. Portal venous phase.

 

Figure 2
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  		Fig. 1B —Left adrenocortical carcinoma in 54-year-old woman. Axial contrast-enhanced CT images show attenuation value measured with region of interest (oval) over uniformly enhanced solid component of lesion to avoid lateral necrotic low-attenuation component. Dev = deviation. Axial delayed contrast-enhanced CT image at same level as A. Uniformly enhancing solid component shows minimal washout consistent with malignancy.

 

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