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Case of the Week 325

What's the most likely diagnosis?

  • 49 year-old male with back pain

  1. Liver laceration
  2. Mesenteric ischemia
  3. Adrenal myelolipoma
  4. Aortic aneurysm
  5. Free air

Additional Images - Density measurement of area of interest


Additional Images

Enhanced CT scan of the abdomen shows mean density of abnormality is -24.68 HU


3. Adrenal Myelolipoma

More (Click Discussion Tab)

Adrenal Myelolipoma

General Considerations

  • Rare, usually non-functioning tumors found incidentally most often in males aged 40-60
  • Benign tumors composed of fat and hemopoietic cells enclosed by pseudocapsule
  • Usually occurs in adrenal gland but may be extra-adrenal in 15%

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