Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

137 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What does this test report of adrenal gland indicate?

Answered by
Dr. Shehzad Topiwala


Practicing since :2001

Answered : 1663 Questions

Posted on Mon, 25 Aug 2014 in Thyroid Problem and Hormonal Problems
Question: Hi Doctor,Post pregnancy i have been having high blood pressure and was detected with high blood sugar in the 3rd month of the pregnancy.Intially it was told i h ad preclampsia but later they are had a dbt if its due to some othe issue.Recently there was an CT scan taken and a 9 mm adernal adenoma was found.Adlestrone was normal.But Cortisol test was not done by Lab.I am not feeling very good for a while inspite my blood sugar and pressure is in control.Please suggest

INDICATION: Adrenal adenoma, hypertension and elevated aldosterone

COMPARISON: None available

TECHNIQUE: Initial unenhanced images acquired through the adrenal glands.
Following the administration of 100 cc of Omnipaque intravenous contrast, porta
venous and delayed 10 minute CT images acquired through the adrenal glands.

My CT scan repot
REPORT: 9 mm area of slightly rounded nodularity inferiorly along the medial
limb of the left adrenal gland. Unenhanced density of 15-20 Hounsfield units.
Porta venous phase density of 120 Hounsfield units. 10 minute washout density of
66 Hounsfield units. No CT criteria are met to confirm that this represents an
adrenal adenoma, with a borderline washout at just less than 50% at 10 minutes.
Other visualized solid organs and viscera of the upper abdomen are unremarkable.
Lung bases and bones unremarkable.
Component Standard Range Your Value Flag
RENIN 0.25 - 5.82 ng/mL/h 0.10 L
Aldosterone PRA Ratio 0.9 - 28.9 Ratio 10.0
Aldosterone 1
Adult Reference Ranges for Aldosterone,
Upright 8:00-10:00 am < or = 28 ng/dL
Upright 4:00-6:00 pm < or = 21 ng/dL
Supine 8:00-10:00 am 3-16 ng/dL
Answered by Dr. Shehzad Topiwala 3 hours later
Brief Answer:

Detailed Answer:
2 tests would help us determine whether this adrenal nodule is secreting excess catecholamines and cortisol.

The first is a non fasting blood sample for plasma free metanephrines.

The second is a midnight salivary cortisol.

These are just screening tests. This means that they are not 100% accurate but if they are positive then confirmatory testing is necessary.

The CT characteristics are notable. You would be best served by an endocrinologist who will examine you in person and assess the need for further testing. It is important to control your blood glucoses and pressure, regardless
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,  
Medical Topics ,  

Recent questions on  Cortisol

doctor1 MD

I was gardening in the morning with garden gloves, big sun hat & big white long sleeve high collar shirt under the strong sun, because I burn badly. That evening suddenly my lower arms between the elbow & wrist are covered with bunch of red spots. At first I thought they are from the bugs, so I put the over the counter insect bite cream. It didn t help at all after frequent application overnight. They Itch badly, tiny dot size to 1/4 diameter, some have white or clear pointed center. I remembered I had a similar incident about 3 months ago on my lower legs & went to the dermotologist. She prescribed fluocinonide cream usp 0.05%, so I have been appling it this morning, but no improvement. Should I give more time ? I also have proctozone-HC TM 2.5% ( hydrocortisone cream usp 2.5% ) prescribed from another doctor. Is this the same as the first cream ? May I use ths instead or use it after the first one is gone ? How often may I use per day & how long may I use ? Or do I have totally another problem ?

doctor1 MD

Hi. I visited the doctor the other day, because I have numbness in my arms and fingers and palpitations, and so I was worried about my heart. They took bloods which showed I am anaemic. They also did an ekg and I am really worried now because they said it was abnormal. The doctor said there was a tiny bump which should be on a certain part, and it wasn't there, but that it "wasn't a big problem". The doctor also said the 2 leads which showed that issue with the bump were the ones under my breasts, and that "you have quite large breasts, so that could have cause this result". I told the doctor I am also really tired and stressed and she said also took some blood to test for low cortisol and low B12. I am awaiting the results. She said the symptoms I was describing were not to do with my heart. I have been referred for a stress test which I will do 4 weeks today, but I'm terrified that something is seriously wrong with my body and/or my heart. Please help me. I think the doctor is being pretty pro-active, but I'm so worried :-(

doctor1 MD

I have a condition called ballinitus which I have controlled for the past 12 years with trimovate cream. This was prescribed by a consultant I saw and I only used a tiny amount each year, and got a new tube when it went out of date . My current GP has prescribed 1% hydrocortisone cream instead but this does not seem to be as effective

doctor1 MD

I have 2 bites, about 3/4 across and close together, not raised, on my upper arm, close to arm pit. They itch like crazy and burn slightly, all the time. Have tried anti-itch creams, hydrocortisone and cool wet cloths but nothing seems to help. They have been there two days. What can I do? Should I see Dr.?

doctor1 MD


doctor1 MD

Started fever 11 days ago. Nodes in 2 areas of neck swollen but better. Left arm near elbow broken out and itches. My right entire side of back is totally broken out. If i scratch seems like fluid inside. Very small breakouts but covers entire...

doctor1 MD

My daughter is obsessed with seeing people in pain. She watches movies and vid of people in pain all day long and thinks abour it to all day long. whats wrong?