The widespread use of imaging examinations has increased the detection of incidental adrenal lesions, which are mostly benign and non-functioning adenomas. The differentiation of a benign from a malignant adrenal mass can be crucial especially in oncology patients since it would greatly affect treatment and prognosis. In this setting, imaging plays a key role in the detection and characterization of adrenal lesions, with several imaging tools which can be employed by radiologists. A thorough knowledge of the imaging features of adrenal masses is essential to better characterize these lesions, avoiding a misinterpretation of imaging findings, which frequently overlap between benign and malignant conditions, thus helping clinicians and surgeons in the management of patients. The purpose of this paper is to provide an overview of the main imaging features of adrenal masses and tumor-like conditions recalling the strengths and weaknesses of imaging modalities commonly used in adrenal imaging.
Original languageEnglish
Pages (from-to)1-16
Number of pages16
JournalInsights into Imaging
Publication statusPublished - 2019


All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

Agrusa, A., Galia, M., Di Buono, G., La Grutta, L., Pardo, S., Toia, P., Midiri, M., Sconfienza, L. M., Albano, D., Bruno, A., Midiri, F., & Pecoraro, G. (2019). Imaging features of adrenal masses. Insights into Imaging, 10, 1-16.