{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:26:24Z","timestamp":1790900784031,"version":"4.1.0"},"reference-count":7,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,7,4]],"date-time":"2018-07-04T00:00:00Z","timestamp":1530662400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>We present a rare case of giant adrenal pseudocyst as a cause of right upper quadrant (<jats:styled-content style=\"fixed-case\">RUQ<\/jats:styled-content>) pain and highlight the typical multimodality imaging features. The case demonstrates the imaging features associated with giant adrenal pseudocysts to aid accurate and timely diagnosis. Despite the rarity of these lesions they are important to consider as benign lesions can closely mimic malignant ones. Unenhanced and contrast\u2010enhanced <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> is the imaging of choice for adrenal cysts. However, <jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content> can provide more exquisite assessment of cystic, solid and enhancing components. Pseudocysts can be purely cystic, mixed or solid. Classically, adrenal pseudocysts are described as cystic lesions (of homogenous water density) with a fibrous wall and thin internal septations. Mural\/septal calcification is commonly demonstrated due to haemorrhage, this is discernible from central\/amorphous calcification seen in malignant disease. As in this case, pseudocysts can contain solid components or layering secondary to haemorrhage. The key to differentiating organised haematoma from tumour is the lack of enhancement. If serial imaging is undertaken in these patients rapid changes in the solid components may be seen reflecting resolving haematoma. Adrenal pseudocysts are rare and have a wide differential. Cystic adrenal lesions warrant multimodality assessment as their imaging features aid diagnosis and differentiation from malignant disease. We suggest that <jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content> plays a complimentary role to <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> is superior at demonstrating mural\/septal calcification but <jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content> aids in determining cystic components and differentiating haemorrhage from tumour.<\/jats:p>","DOI":"10.1111\/1754-9485.12755","type":"journal-article","created":{"date-parts":[[2018,7,4]],"date-time":"2018-07-04T11:08:10Z","timestamp":1530702490000},"page":"665-667","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Giant adrenal pseudocyst: A rare diagnosis"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5634-7546","authenticated-orcid":false,"given":"Isabel","family":"Haines","sequence":"first","affiliation":[{"name":"Department of Radiology University Hospital Bristol Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Macallister","sequence":"additional","affiliation":[{"name":"Department of Radiology University Hospital Bristol Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,4]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.humpath.2013.02.002"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.20555"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(98)00277-5"},{"key":"e_1_2_4_5_1","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1007\/s00330-002-1537-5","article-title":"Imaging spectrum of adrenal pseudocysts on CT","volume":"13","author":"Wang L","year":"2003","journal-title":"Euro Radiol"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.314095132"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02739696"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)32841-0"}],"container-title":["Journal of Medical Imaging and Radiation Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1754-9485.12755","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1754-9485.12755","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T04:20:37Z","timestamp":1694751637000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1754-9485.12755"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,4]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,10]]}},"alternative-id":["10.1111\/1754-9485.12755"],"URL":"https:\/\/doi.org\/10.1111\/1754-9485.12755","archive":["Portico"],"relation":{},"ISSN":["1754-9477","1754-9485"],"issn-type":[{"value":"1754-9477","type":"print"},{"value":"1754-9485","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,4]]},"assertion":[{"value":"2018-01-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-07-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}