Thin slice CT of the adrenal glands, what is a CT examination of the adrenal glands

Hypertension is divided into primary hypertension and secondary hypertension, primary hypertension is generally middle-aged and elderly, except for high blood pressure, there is no other certainty**; Secondary hypertension is common in young people, as the name suggests, high blood pressure is caused by other **, common for adrenal pheochromocytoma, renal artery stenosis, kidney tumors, etc.

Your CT results indicate that your left adrenal gland is likely to have a tumor, which may be an adenoma or a pheochromocytoma, because it is too small, the doctor is not sure, and it is recommended that you check again to see if there is any change. Adrenal tumors are terrible because they secrete a lot of hormones, and norepinephrine in them will make blood pressure rise horribly! In addition, you should check whether the related hormones are high, if they are high, the possibility of growing tumors is greater.

Blood pressure medication must be taken, and it should also be combined with exercise, and blood pressure must be kept in the normal range! Because high blood pressure can lead to many complications.

The medicine given by the doctor still needs to be eaten, and your blood pressure still needs to be controlled, CT said that there is a small circular localized nodular shadow at the junction of the inner and outer branches of the left adrenal gland, and it is possible to grow a small pheochromocytoma, and pheochromocytoma can make people have high blood pressure, which is a kind of secondary hypertension, but because your small circular localized nodule shadow is not very exact (that is, it may be normal, there is no tumor), so the doctor does not dare to report the tumor directly to you, and can only report a sign to you. It's okay to let you have a regular review, you go to recheck the CT every 1 year, but if the blood pressure is suddenly very high and the medicine does not go away, then you should also check it, and when you go to the review, you must bring the CT film you did last time (this is very important), all the CT of the review will not be painful anymore, and there is no need to inject to do enhancement, you can scan it directly, and the examination will be completed in about 2 minutes (but the report will take a long time to come out), there is no pain at all, rest assured, if you don't bring the old CT film, it may really be painful again. If your small round localized nodule has grown, then you can confirm that the tumor is long, and then go to surgery to cut it, so now you don't have to worry too much about this, just follow the doctor's advice and live a relaxed life.

CT scan that looks specifically at the adrenal glands and kidneys.

Compared with a general CT scan, the layer is thinner, which is easier to visualize the adrenal glands, which are smaller.

This is easy to answer, why let your family sign it, because to do enhanced CT is to register a drug containing a large amount of iodine (our hospital uses iodofluorol), there are a few people who are allergic to iodine, such as people who cannot eat iodized salt or kelp, it is dangerous to do CT enhancement, if your family is not an iodine allergic person, there is no danger. Why do you want to let the family sign now, tell you from another angle, I am also a doctor, just because the patient always sues, as soon as the doctor makes a mistake, the patient's family will catch it and sue the doctor for losing money, and now the people's hearts are also broken, some people know that their family members are allergic to iodine, and they don't say it to the doctor, and let the hospital compensate if something happens, this kind of person also exists, so they are forced by the patient to sign before doing anything. Otherwise, don't treat it.

I will explain to you both subjective and objective, and you can analyze it yourself, if your family is not allergic to iodine, sign it. No danger! As for the doctor asking you to do enhanced CT before surgery to rule out some unexpected factors, listen to the doctor.

There are also thin-slice CT without contrast for the adrenal glands, and there are also CT with contrast, which needs to be done depending on the specific condition of the patient.

Why the family should sign is a non-technical question, a question of responsibility. You should ask your supervising physician or any of the doctors in your ** group.

I think it is very important for doctors and patients to trust each other, after all, he is taking measures for your health and surgical safety, and doing an enhanced CT will not bring any benefit to the doctor who prescribes CT. It's like I could continue to watch the World Cup and not answer your questions, but for your sake, I'll answer as soon as possible. What does answering your question give me?

It's all for you.

You don't have to prepare anything, and when the time comes, you'll be asked to drink contrast agent, and it's the same as plain water, and it doesn't taste like anything, and when you do it, you just feel a little hot, and you don't feel anything else, don't worry, I was fine when I did it.

Try to skip breakfast, fast, provide allergy history to the doctor, and if metformin is taken orally, stop the drug for 2 days before doing the boost.

Testosterone levels are very high and there is breast hyperplasia, indicating that your sex hormone secretion is increased, and the adrenal cortex can secrete sex hormones, and the bilateral adrenal glands are slightly thickened, and there is no obvious mass performance, indicating that your adrenal gland function is enhanced and there is thickening, which may be functional hyperplasia, or neoplastic hyperplasia, which depends on the future development, but the CT results are likely to be functional hyperplasia, which should belong to endocrine system diseases. Such as glucocorticoids, mineralocorticoids, adrenocorticotropic hormone, adrenocorticotropic hormone-releasing hormone, etc.

Gender? Age?

There should be no problem.

Now that the symptoms are fine, don't be too nervous.

Looking at your above description, it is quite possible to consider pheochromocytoma, but it is recommended that you further improve the examination, for example, when you have an attack, you have done adrenal CT, but you should complete a 131i-mibg nuclide scan to determine whether there are multiple foci in Shixiao, as far as I know, Beijing **** can do this examination. If pheochromocytoma is definitively present, surgery is preferred**.

Special drugs are given to enable CT to better identify lesions.

It is recommended to enhance the scan, clarify the characteristics of the enhancement, and do laboratory tests such as catecholamines. Generally benign. It may cause hypertension and obesity, but it must be clarified.

CT enhancement will not be anything***, hypertension caused by adrenal adenoma cannot be ruled out, adrenal function test is recommended, if it is caused by adenoma, posterior laparoscopic adrenal adenoma resection is recommended. Around 12000.

Enhancement is mainly to judge the nature, or you can not do it, because you have to do surgery anyway, otherwise you will not be able to do it if your blood pressure is high, and you can cut it out and do pathology.

As long as there is no allergy to the enhancement drug, there is no harm.

It is not clear whether there is a nodule or not. After the enhancement is done, at least whether there is a nodule or not is definitely known, and as for what the disease of this nodule is, it can also provide a certain basis.