Imaging and differential diagnosis of suprarenal masses in the fetus

J Ultrasound Med. 2014 May;33(5):895-904. doi: 10.7863/ultra.33.5.895.

Abstract

Prenatal sonography and magnetic resonance imaging of suprarenal fetal masses is presented, along with clinical information and follow-up. Imaging pearls and differential considerations for each diagnosis will be discussed. Fetal suprarenal mass diagnoses include neuroblastoma, extralobar pulmonary sequestration, congenital adrenal hyperplasia, partial multicystic dysplastic kidney, renal duplication, urinoma, gastric duplication cyst, and splenic cyst. Recognizing the range of malignant and benign suprarenal fetal masses that can present on prenatal imaging can help guide patient counseling and management.

Keywords: fetal magnetic resonance imaging; fetal sonography; obstetric ultrasound; suprarenal mass; ultrasound education.

MeSH terms

  • Adrenal Gland Diseases / diagnostic imaging*
  • Adrenal Gland Diseases / embryology
  • Bronchopulmonary Sequestration / diagnostic imaging*
  • Bronchopulmonary Sequestration / embryology
  • Cysts / diagnostic imaging*
  • Cysts / embryology
  • Diagnosis, Differential
  • Fetal Diseases / diagnostic imaging*
  • Humans
  • Kidney / abnormalities
  • Kidney / diagnostic imaging
  • Kidney Diseases, Cystic / diagnostic imaging*
  • Kidney Diseases, Cystic / embryology
  • Ultrasonography, Prenatal / methods*
  • Urinoma / diagnostic imaging*
  • Urinoma / embryology