Untangling the incidentals
An adrenal ‘incidentaloma’ is defined as a mass or nodule 10mm or more in size found on a CT (or other imaging) performed for an indication other than the evaluation of the adrenal glands.
Patients with known primary malignancies that potentially metastasise to the adrenals are excluded from this discussion as, arguably, the lesions are not truly incidental, even though in many cases, the lesions may be found to be unrelated to the patient’s underlying disease rather than metastatic.
Modern imaging can detect nodules less than 10mm in size. The appropriate management of these