Doctor insights on:
Thickening Of The Adrenal
What does low density nodular thickening of both adrenal glands without suspicious enhancement, presumably on the basis of small adenomas mean on my c?
By itself, nonspecific. It can mean there is hypertrophy (normal variant) or an adrenal mass which can be benign or malignant. These incidental findings can be anxiety provoking but it's always better to know. Options include follow up CT or abdominal MR. Given findings are mild, I wouldn't be surprised if CT is repeated, likely with IV contrast.
Discuss with your primary doc and radiologist. ...Read more
In my recent ct results. 1.6cm renal adenoma (in previous ct it was adrenal adenoma)thickening of right adrenal and hepatic steatosis. Prognosis?
? Typo: It sounds like there might be a typographical error in the report. An adrenal adenoma (which is benign) does not go away or turn into a renal adenoma. Moreover, a renal adenoma cannot be diagnosed by CT, it would require a biopsy to establish that. Have your doctor review the report for accuracy. ...Read more
I was found on recent CT of the abdomen with IV contrast to have hypoattenuating foci of my liver with thickening of my adrenal glands. What is it?
Consultation: It sounds like your medical issues have already had some evaluation. Start with the doctor who ordered the test. For a second opinion from a doctor on HealthTap the "inbox consult" allows you to message back and forth like email, and is good when a lot of information needs to be exchanged (like prior test reports, etc.) ...Read more
Recent CT scan indicated mild thickening of left adrenal gland unchanged. I get heart palpitations when I lie on my left side. Is this serious?
Nothing serious: CT findings and palpitations are unrelated. If you are otherwise well, with no history of cancer, the mild thickening is most often unimportant. Palpitations are due to a sudden racing of the heart, or to premature heartbeats that feel like a skipped beat or a quick flutter. These palpitations are usually not an indication of heart disease. SEE <a href="http://bit. Ly/1vlj5cr" rel="nofollow" target ...Read more
What is meant by nodular thickening of the left adrenal gland related to hyperplasia without well defined nodule?
Size and location: The adrenal glands can increase in size due to hyperplasia (usually bilateral) or a tumor (adenoma or carcinoma). However, hyperplasia may give rise to a thickening of the gland by imaging. There is also nodular hyperplasia, which is often related to specific hormone production (cortisol, aldosterone, etc). Not sure if you are symptomatic. ...Read more
I too was told I have a thickening of my left adrenal gland as well as nodules in my lungs and lesions on my kidneys. Should I be concerned?
CT scan shows nonspecific mild nodularity/thickening of medial left adrenal gland. Having MRI this week. Is this why I have pain there? All else normal
Unlikly cause o pain: It is very unlikely that you are experiencing pain from your adrenal gland. The adrenal gland sits at the top of the kidney and produced hormones. You can get bleeding into the gland which can be felt as pain, but that situation does not appear like nodular thickening. The follow-up MRI is used to exclude a mass as the cause of the thickening. ...Read more
What is the meaning of slight thickening of limbs of adrenal glands on ct scan obtained for microhematuria in 53yo female
Nothing: It's a curiosity.Get a more detailed answer ›
Nonspecific thickening of the left adrenal gland. Could this be causing my amenorrhea x3mths, lower back pain. POF and endometriosis. That is being tx. Scattered subcentimeter mesenteric and periaortic lymph nodes are nonspecific. Is it linked?
Adrenal: Could be. Do you have Cushing'sGet a more detailed answer ›
3 years of fluctuating blood pressure-tachycardia-excessive sweating-shortness of breath-headaches-CatScan shows nodular thickening left adrenal gland?
I hope your doctor has discussed this finding with you. It may well be nothing to be concerned about but your doctor must advise you.
If you can, please let me know what transpires. ...Read more
What would cause a mildly thickened adrenal gland. My CT report says I have this but my doctors have not recommended any follow up. Not sure what to do.
Benign process: Fullness in the adrenal gland can be due to a benign process, like an adenoma, or malignancy from lung or other types of cancer. Measuring hounsfield units on ct can be helpful (usually hu of 20 or less is benign). If the area is equivocal, then a dedicated ct or MRI of the adrenals can be performed. Did your ct report have hu for the adrenal gland? Do you have a history of lung cancer? ...Read more
Have a 5mm groundglass infiltrate right upper lobe, also a 1.6cm low density nodule on left adrenal gland and left adrenal gland is thickened?
What do you want?: Doctors have to add up ur history, exam, medical problems, your social habits like drinking, smoking and your family history to come to a conclusion. We are not Gods to see just a CT scan result and give you a diagnosis. Please provide above details if you need more insight into what these lesions could be.....Hope you don't misunderstand me... ...Read more
Aldosterone/pra ratio was 150 and ct was ordered for adrenals. Right was normal, and left was mildly thickened. Should I be referred to specialist?
You mention (Aldosterone/Plasma Renin ration indicates that you are already seeing a specialist however if your PCP ordered the test he/she may wish to refer you to an ENDOCRINOLOGIST
Hope this is helpful!
Dr Z ...Read more
Is a left adrenal gland that is mildly thickened something to be concerned about? Ct report said it may represent hyperplasia. What can cause this?
Adrenal abnormality: Why was the ct done? It is common to discover something "incidentally" on the adrenals. Cts are very sensitive and they pick up all sorts of things that are often nothing more than "warts". See your doctor. With this info, you need to determine whether your adrenal (s) are producing too much hormone. Then you and your doctor need to figure out who used the term "hyperplasia" and why. ...Read more
Why would my doctor not recommend following up with a specialist when my CT said my left adrenal gland was mildly thickened? This doesn't seem normal.
Local problem: I am sure you can understand that none of us can speak for your physician. This is a question you have a right to ask. Be brave. Ask them. ...Read more
Probably not adrenal: The adrenal makes cortisol and adrenaline, both are stress hormones. People who are stressed out and having trouble coping are sometimes persuaded that it’s the adrenal’s fault. Although you may be feeling the effects of chronic stress, it is seldom due to adrenal problems. Poor adrenal function is determined by an acth (cotrosyn) stim test. See an endocrinologist if you have concerns. ...Read more
"adrenal crash" is not a medical term. It occasionally is medical slang for the secondary adrenal insufficiency that follows prolonged exposure to steroids and abrupt withdrawal. Usually a wean of steroid is needed to avoid this crash.
Fatigue following strenuous activity is not an adrenal problem. It is likely a needed recovery phase to repair muscle and rebuild glycogen stores. ...Read more
BIG question!: Too much cortisol or too much aldosterone, too little aldosterone and/or cortisol, too much catecholamine, androgens, and/or cancers. Holy cow! Big question! Cushing's, primary hyperaldosteronism, secondary hyperaldosteronism, Addison's, secondary adrenal insufficiency, congenital adrenal hyperplasia (classical & non-classical), pheochromocytoma, various malignancies, hemorrhage/infarct. Big topic ...Read more
Hormone replacement: Its never a good idea to take a hormone as a supplement unless there is a deficiency. Even in some hormone deficiencies, the drawbacks to replacement outweigh the benefits. While there is some limited evidence that dhea replacement can help specific groups (people with addison's disease for example), adrenal supplements do not have proof that they work at all. ...Read more
What kind of dr should I see, and what tests should they perform, to check on my adrenal function?
Adrenal: An internist can help; however, an endocrinologist is a specialist that deals with the endocrine glands of our body; test that can be perfomed to check how the adrenal gland is working may include : corticosteroid level (cortisol), catecholamine levels (epinephrine, norepinephrine), androgen level, aldosterone level, adrenocorticotropic hormone level (acth) etc... ...Read more
Low cortisol state: Acute adrenal crisis is defined by the sudden drop in Hydrocortisone (or its equivalent) in the body, prompting acute physiological changes such as low blood sugar, lethargy, nausea, low blood pressure and sometimes even coma and death. Immediate steroid replacement is needed to reverse the above either via mouth (if the individual is stable and able to swallow) or via intra muscular/intravenous. ...Read more
Life threatening: Your adrenal glands make hormones which help to maintain normal salt and sugar levels in your blood as well as normal blood pressure. An adrenal crisis is a severe presentation of adrenal insufficiency which is life threatening due to potential problems with severely low blood pressure, in addition to very abnormal salt and sugar levels. ...Read more