Prevalence of Adrenal Incidentaloma by Chest Computed Tomography in Patients with a Preliminary Diagnosis of COVID-19 Pneumonia

Abstract

Aim: Adrenal incidentalomas are typically discovered as an incidental finding during routine computed tomography (CT) or magnetic resonance imaging (MRI) scans conducted for unrelated purposes. Our objective was to examine the frequency of adrenal incidentaloma, in individuals who underwent thoracic CT scan as a result of Covid-19 infection. Material and Methods: In the retrospective descriptive study, 808 patients who applied to the emergency radiology department with the suspicion of covid 19 and underwent thoracic CT between March 2020 and July 2020 were included. The presence of incidentaloma in the CT images of the patients was evaluated. Results: Adrenal incidentaloma was detected in 78 (9.7%) of the 808 patients, and of those 78 adrenal incidentalomas, 70 (8.7%) were unilateral and 8 (1%) were bilateral. The mean diameter of the adrenal incidentaloma was 20 mm, and it was 18.5 mm in females and 21.5 mm in males. A total of 808 patients, 351 (43.4%) females and 457 (56.6%) males, were included in the study. Conclusion: Adrenal incidentaloma have become more common radiological findings with the recent COVID-19 pandemic due to the increased frequency of CT scans, and it is important to appropriately manage these patients.