Adrenal Adenoma and Adrenal Veins

Yuki Takahashi, MD; Hideki Ota, MD; Kensuke Omura, MD and Kei Takase, MD
Department of Diagnostic Radiology, Tohoku University Hospital, Sendai, Japan

A 40-year-old female patient, suffering from hypertension, hypokalemia, and hyporeninemic hyperaldosteronemia, was referred to our institution due to a suspected primary aldosteronism (PA). A positive aldosterone-renin ratio (ARR) and captopril load test confirmed the diagnosis of PA. An abdominal CT examination was ordered to rule out adrenal adenoma (AA) and to visualize the adrenal veins prior to adrenal venous sampling (AVS).