Testicular adrenal rests in a patient with congenital adrenal hyperplasia: US and MRI features.
Comput Med Imaging Graph
; 30(8): 465-8, 2006 Dec.
Article
em En
| MEDLINE
| ID: mdl-17049208
ABSTRACT
We present ultrasonographic and magnetic resonance imaging findings of intratesticular adrenal rests in a 16-year-old patient with congenital adrenal hyperplasia. Scrotal ultrasonography showed bilateral well-delineated homogenous hypoechoic lesions located around the mediastinum testis, which were highly vascularized on power Doppler ultrasonography. Relative to normal testicular parenchyma the lesions were iso- or hyperintense on T1-weighted and hypointense on T2-weighted images. T2-weighted images also showed a target-like appearance caused by a more hypointense peripheral halo around the lesions. The lesions enhanced remarkably on post-contrast images. This case suggests that radiological evaluation of testes, even in the presence of normal physical examination findings, should be included in periodical follow-up of patients with congenital adrenal hyperplasia. Magnetic resonance (MR) imaging is useful in demonstrating the lesions, because the contrast resolution better than with ultrasonography.
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Bases de dados:
MEDLINE
Assunto principal:
Neoplasias Testiculares
/
Hiperplasia Suprarrenal Congênita
/
Tumor de Resto Suprarrenal
Tipo de estudo:
Diagnostic_studies
Limite:
Adolescent
/
Humans
/
Male
Idioma:
En
Revista:
Comput Med Imaging Graph
Assunto da revista:
DIAGNOSTICO POR IMAGEM
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Turquia