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Sep 16, 2022

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.22.27901 

Adrenal adenomas are common due in part to increased utilization of cross-sectional imaging, there is a growing need to evaluate the utility of CT washout for small homogenous adrenal nodules (<4cm) with HU>10 and without history of cancer given the prevalence of malignancy in true incidentalomas is low.  Mohanned Alnammi, MD discusses an article that found evaluating true incidentalomas with HU >10 with CT washout and showed suboptimal diagnostic performance and that the 60% washout threshold may be of limited utility in those without a history of cancer.