Endgames
Spot Diagnosis
An incidental finding
BMJ 2016; 355 doi: https://doi.org/10.1136/bmj.i5419 (Published 26 October 2016) Cite this as: BMJ 2016;355:i5419
- H L Adams, specialty registrar, radiology1,
- David C Howlett, consultant radiologist2
- 1Brighton and Sussex University Hospitals, Brighton, UK
- 2Department of Radiology, East Sussex Healthcare NHS Trust, Eastbourne, UK
- Correspondence to: H L Adams h.l.adams{at}doctors.org.uk
A 68 year old man presented with abdominal pain and underwent abdominal radiography. What finding is present on the radiograph (fig 1⇓)?
Fig 1 Anteroposterior abdominal radiograph
Answer
Calcification of the adrenal glands bilaterally (fig 2⇓ arrows).
Fig 2 Anteroposterior abdominal radiograph showing calcifications in paravertebral region at level of T12/L1 (black arrows), within adrenal glands
Discussion
The patient underwent computed tomography, which confirmed bilateral adrenal calcification …
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