RESUMEN
Two cases of rare adrenal cavernous hemangiomas are reported, one imaged with conventional X-ray techniques, US, CT, and MRI, and the other with US and CT. The CT technique clearly demonstrated calcifications and the internal structure of the lesions in both cases and peripheral rim enhancement on the postcontrast scan in one patient. Although MRI demonstrated accurately the complex nature of the lesion, the inability to visualize the calcified areas do not allow to make a specific histologic diagnosis.
Asunto(s)
Neoplasias de las Glándulas Suprarrenales/diagnóstico , Hemangioma Cavernoso/diagnóstico , Anciano , Femenino , Humanos , Imagen por Resonancia Magnética/métodos , Persona de Mediana Edad , Tomografía Computarizada por Rayos XRESUMEN
A prospective study of the possibilities and achievements of ultrasonography of the adrenal glands is presented. The adrenal glands of 146 patients with abnormalities suspected clinically were examined with ultrasound. Patients were also evaluated with computed tomography where there are firm criteria for the evaluation of adrenal pathology. Positive findings were detected by ultrasound in 46 patients, whereas computed tomography disclosed pathologic changes in 65 patients. In 81 patients, the finding of computed tomography was normal. With ultrasound, false positives were obtained in 3 cases and false negatives in 19 cases (14 hyperplasias, 5 tumors). Ultrasound findings were additionally compared with angiographic and clinical tests as well as with pathohistologic results of surgery and autopsy.