1. Dr. Sultan Alharbi

2.  The adrenals are two small, yellowish bodies located in the perirenal space, immediately anterosuperior to the upper pole of the kidneys.  The right gland is posterior to the inferior vena cava and superior to the upper pole of the right kidney.  The left is anteromedial to the upper pole of the kidney and posterior to the pancreas  Normal adrenal glands range from 2 to 6 mm in thickness and from 2 to 4 cm in length

3. They are very vascular and receive blood supply from the superior, middle, and inferior suprarenal arteries

4.  The adrenal gland is composed of an outer cortex and thinner inner medulla.  The cortex is further subdivided into three zones: outer zona glomerulosa, middle zona fasciculata, and inner zona reticularis

5. What are the modalities available to image the adrenal glands? 1.X-ray 2.CT scan 3.MRI 4.Ultrasound 5.Nuclear medicine

6. CT scan

7. 1 2 3 4 5 6 7

8. 1 2 3 45 6 7 1- Liver 2-Spleen 3- Pancreas 4- Left adrenal gland 5- Right adrenal gland 6- Aorta 7- IVC

11. 1 1 2 2 4 4 3 3 5 5 6 6

12. 1 1 2 2 4 4 3 3 5 5 6 6 1- Right kidney 2- Left kidney 3- Right adrenal gland 4- Left adrenal 5- Spleen 6- Liver

22. ULTRASOUND

30. NUCLEAR SCAN

31. PET scanMIBG scan