Future Directions in the Study and Management of Congenital Adrenal Hyperplasia due to 21-Hydroxylase Deficiency

Figure 8. Testicular adrenal rest tissue masses often surround the mediastinum testes ( ) ( ), and are bilateral, intratesticular,
and hypoechoic ( ). Testicular adrenal rest tissue masses are seen equally as well on ultrasonography and magnetic resonance
imaging. Most of these masses are hypointense on T2-weighted images ( ) and isointense on T1-weighted images, with diffuse
enhancement post-contrast ( ). Large testicular adrenal rest tissue ( ) typically shrinks or disappears ( ) with higher-dose
glucocorticoid therapy.
Characteristic radiologic features of testicular adrenal rest tumors.arrowABCDEF
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Ann Intern Med
February 19, 2002
vol. 136
no. 4
320-334