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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The MRI With Hyperplasia Indicate?

A year ago I went from being pre-diabetic to having uncontrolled diabetes. I have not had a normal blood sugar reading in a year. For two weeks I did not have insulin, and developed dka with blood sugar at 621 and ketones at 80. I was in the hospital for three days. I had an MRI done that showed a thickening of my left medial leaf on my adrenal gland. My 24 hour urine tests show. Elevated adrenal hormones. The MRI also shows possible hyperplasia. 9 years ago I had renal carcinoma clear cell. I have been very fatigued for several years.

What do u think is wrong with me?
Mon, 23 Jun 2014
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Radiologist,  's  Response
Hi,
Thanks for choosing healthcaremagic.
The thickening of the medial limb of adrenal gland occurs most likely due to adenoma. Hyperplasia usually affects both the adrenal glands. In your case the adrenal hormones are elevated which usually do not occur in a case of adenoma. Another possible condition is Phaeochromocytoma which can occur in one adrenal limb and cause elevation of adrenal hormones. Only with this MRI description it is not possible to pin point the diagnosis so there are 3 differentials for you - Hyperplasia, adenoma and phaeochromocytoma. You should undergo a contrast study which can diagnose the lesion correctly. This lesion is unrelated to your diabetic status.
Hope it sorts your problem.
Regards,
Dr. Pankaj Nagori
Specialist Radiologist
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What Does The MRI With Hyperplasia Indicate?

Hi, Thanks for choosing healthcaremagic. The thickening of the medial limb of adrenal gland occurs most likely due to adenoma. Hyperplasia usually affects both the adrenal glands. In your case the adrenal hormones are elevated which usually do not occur in a case of adenoma. Another possible condition is Phaeochromocytoma which can occur in one adrenal limb and cause elevation of adrenal hormones. Only with this MRI description it is not possible to pin point the diagnosis so there are 3 differentials for you - Hyperplasia, adenoma and phaeochromocytoma. You should undergo a contrast study which can diagnose the lesion correctly. This lesion is unrelated to your diabetic status. Hope it sorts your problem. Regards, Dr. Pankaj Nagori Specialist Radiologist