Intended for healthcare professionals

Endgames Spot Diagnosis

An incidental finding

BMJ 2016; 355 doi: (Published 26 October 2016) Cite this as: BMJ 2016;355:i5419
  1. H L Adams, specialty registrar, radiology1,
  2. David C Howlett, consultant radiologist2
  1. 1Brighton and Sussex University Hospitals, Brighton, UK
  2. 2Department of Radiology, East Sussex Healthcare NHS Trust, Eastbourne, UK
  1. Correspondence to: H L Adams h.l.adams{at}

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


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


The patient underwent computed tomography, which confirmed bilateral adrenal calcification …

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