PMC9521595_01
A representative image of adrenal glands with computed tomography. The axial un-enhanced computed tomography performed at time 0 shows enlarged and ill-defined adrenal glands and fluid film with a mean density of 50 Hounsfield Unit.
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F1
The mean density was about 50 UH (Figure 1).
A representative image of adrenal glands with magnetic resonance imaging. T2 axial view at time 0 confirmed enlarged adrenal glands with hyperintense signal due to hyperacute hemorrhage. No focal lesions were described.
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F2
With a hypothesis of adrenal disease, a magnetic resonance imaging (MRI) was performed and it confirmed the suspicion of hyperacute bilateral adrenal hemorrhagic infarction, associated with minimal left anterior pararenal blood fluid film without focal lesions (Figures 2, 3).
A representative image of adrenal glands with magnetic resonance imaging. The marked hypointensity signal confirmed the presence of adrenal hemorrhage.
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F3
With a hypothesis of adrenal disease, a magnetic resonance imaging (MRI) was performed and it confirmed the suspicion of hyperacute bilateral adrenal hemorrhagic infarction, associated with minimal left anterior pararenal blood fluid film without focal lesions (Figures 2, 3).
A representative image of adrenal glands with magnetic resonance imaging. After 4 weeks, the adrenal glands show normal shape, margins, and signal intensity in T2 axial view images. The film fluid was resolved.
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F4
The patient returned for a second MRI after 4 Weeks (Figure 4).