Review Article

Adrenal lesions encountered in current medical practice − a review of their radiological imaging

Vanesha Naidu, Bhugwan Singh
South African Journal of Radiology | Vol 17, No 4 | a5 | DOI: | © 2013 Vanesha Naidu, Bhugwan Singh | This work is licensed under CC Attribution 4.0
Submitted: 21 February 2013 | Published: 08 November 2013

About the author(s)

Vanesha Naidu, Department of Radiology, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa
Bhugwan Singh, Department of Surgery, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa


Modern radiological technology has transformed the way that adrenal lesions are currently investigated. The contemporary radiologist has been catapulted to the forefront in the management of adrenal disease. With the increasing use of cross-sectional imaging, adrenal lesions are being serendipitously discovered in radiological studies undertaken for non-adrenal-related conditions – the so-called adrenal ‘incidentaloma’. This review discusses the imaging modalities available for characterising these lesions, highlighting current concepts and controversies in differentiating benign from malignant pathology. The article also provides a brief overview of the spectrum of adrenal pathology commonly encountered in the adult population.


adrenal; incidentalomas


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