{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T11:02:18Z","timestamp":1774868538815,"version":"3.50.1"},"reference-count":66,"publisher":"Societatea Romana de Morfologie","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rom J Morphol Embryol"],"published-print":{"date-parts":[[2026,3,10]]},"abstract":"<jats:p>Background: Coronavirus disease 2019 (COVID-19) pandemic was associated with unexpected endocrine findings at imaging evaluation, including adrenal incidentalomas. Aim: To analyze adrenal findings at computed tomography (CT) in patients who underwent an abdominal and\/or thoracic CT scan for non-adrenal conditions and had a positive COVID-19 testing within six to 12 months before. Methods: This was a retrospective, real-life study in adults. Results: Two groups [group C (positive COVID-19 infection; N=46 patients) vs. group non-C (prior negative infection; N=74 patients)] had similar age: 57.72\u00b114.23 vs. 53.74\u00b113.90 years (p=0.134). 73.33% of patients of group C had abnormal adrenal features similar to 66.22% of patients in non-C. Prevalence of adrenal nodules (ANs) was statistically significantly higher in group C (54.35%) vs. non-C (33.78%) (p=0.026). Detection rate of unilateral AN (45.65% vs. 25.67%; p=0.029) was also higher. 41.67% of entire group (N=120) displayed an AN (group AN), while 58.33% were nodule-free (group non-AN), with similar age and gender distribution. The number of patients with a history of COVID-19 infection was statistically significantly higher in group AN vs. non-AN (50% vs. 30%; p=0.026). Multivariate logistic regression analysis explained 17.5% of the variance (R2: 0.175). After adjusting for age, gender, right unilateral hyperplasia and left unilateral hyperplasia, the presence of the COVID-19 history remained statistically significantly (p=0.028) associated with increased odds of having an AN [odds ratio (OR: 2.471, 95% confidence interval (CI): 1.105\u20135.527]. A statistically significant correlation was found between the age and the largest diameter of AN within group AN (r=0.387, p=0.009). Conclusions: Awareness remains the key factor in the CT-detected lesions that have been identified after prior coronavirus infection, some being a direct consequence, while others are incidental elements.<\/jats:p>","DOI":"10.47162\/rjme.66.4.04","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T10:10:17Z","timestamp":1774865417000},"page":"661-672","source":"Crossref","is-referenced-by-count":0,"title":["Post-COVID-19 incidentally discovered adrenal findings (a CT-focused real-life study)"],"prefix":"10.47162","volume":"66","author":[{"name":"Doctoral School, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Department of Radiology and Medical Imaging, Dr. Carol Davila Central Military Emergency University Hospital, Bucharest, Romania","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mihai","family":"Costachescu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anda Simona","family":"Dumitra\u015fcu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Radiology and Medical Imaging, C.I. Parhon National Institute of Endocrinology, Bucharest, Romania","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oana-Claudia","family":"Sima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Clinical Endocrinology V, C.I. Parhon National Institute of Endocrinology, Bucharest, Romania","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"Ionovici","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Occupational Medicine, University of Medicine and Pharmacy of Craiova, Romania","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dana Cristina","family":"Terzea","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Pathology, C.I. Parhon National Institute of Endocrinology, Bucharest, Romania; Oncoteam Diagnostics, Bucharest, Romania","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emi Marinela","family":"Preda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Radiology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Department of Radiology and Medical Imaging, Foi\u015for Clinical Hospital of Orthopedics, Traumatology and Osteoarticular Tuberculosis, Bucharest, Romania","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mara","family":"Carsote","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Doctoral School, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Department of Clinical Endocrinology V, C.I. 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