A 55-year-old man undergoes CT abdomen for renal colic and is incidentally found to have a 2.5 cm adrenal mass with low attenuation. He is asymptomati...

Question

A 55-year-old man undergoes CT abdomen for renal colic and is incidentally found to have a 2.5 cm adrenal mass with low attenuation. He is asymptomatic with normal blood pressure and potassium. What is the most appropriate initial evaluation of this incidentaloma?

Accepted Answer

Screen for hormonal hypersecretion including plasma metanephrines, aldosterone-renin ratio and overnight dexamethasone suppression test

Answer

No further workup is required for lesions

Answer

Arrange adrenal biopsy

Answer

Proceed directly to adrenalectomy

Answer

Repeat CT in 10 years

au-amc MCQ (SBA): Adrenal incidentaloma

A 55-year-old man undergoes CT abdomen for renal colic and is incidentally found to have a 2.5 cm adrenal mass with low attenuation. He is asymptomatic with normal blood pressure and potassium. What is the most appropriate initial evaluation of this incidentaloma?