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Radiologytutor. Com search... Home cases and articles chest renal gastrointestinal genitourinary cardiac musculoskeletal miscellaneous neuroradiology endocrine paediatrics anatomy head and neck spine chest genitourinary abdominal wall differential diagnosis chest physics ultrasound ct web links chest neuroradiology trauma about contact us you are here: home cases and articles endocrine relative adrenal washout relative adrenal washout details last updated on thursday, 27 september 2012 18:08 written by jonathan colledge relative adrenal washout calculator if an adrenal lesion has average, unenhanced hounsfield units of 10 or less then it can be assumed that in most cases the diagnosis is a lipid rich adenoma. If the average hounsfield unit is less than 0, the specificty is 100%(1,2). Where a lesion cannot be characterised based on the above, post contrast (at 60 seconds) and delayed (15 minute) scans are required. Using hounsfield unit measurements from these scans, either the relative or absolute contrast washout can be calculated and used to characterise the lesion. (3,4) use the calculator below for relative washout when a pre-contrast scan is not available. When a pre-contrast scan is available use absolute washout. Relative adrenal washout calculator post-contrast hounsfield units: delayed phase hounsfield units: relative washout (%) = the formula used for the above calculator is: if the relative washout is greater than 40% then this classifies the lesion as a benign adenoma. References lee mj, hahn pf, papanicolaou n, et al. Benign and malignant adrenal masses: ct distinction with attenuation coefficients, size, and observer analysis. Radiology. 1991;179(2):415–418. Boland gw, lee mj, gazelle gs, et al. Characterization of adrenal masses using unenhanced ct: an analysis of the ct literature. American journal of roentgenology. 1998;171(1):201–204. Caoili em, korobkin m, francis ir, et al. Adrenal masses: characterization with combined unenhanced and delayed enhanced ct1. buy generic viagra viagra for sale cheap viagra buy viagra viagra without a doctor prescription viagra gel for sale uk generic viagra cheap viagra viagra for sale generic viagra online Radiology. 2002;222(3):629–633. Korobkin m, brodeur fj, francis ir, et al. Ct time-attenuation washout curves of adrenal adenomas and nonadenomas. American journal of roentgenology. 1998;170(3):747–752. Login for authors user name password remember me forgot your password? Forgot your username?. Phrine and norepinephrine are present. Treatment prescription medications can be used to control high blood pressure. Tumors smaller than 5cm can be removed with minimally invasive surgery. Larger tumors will require a bigger incision in the back or the abdomen. Warning pheochromocytomas can be cancerous, or malignant, in rare cases and spread to other organs. Treatmen.

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