ADRENAL EXTRAMEDULLARY HEMATOPOIESIS - DIAGNOSIS BY A NONINVASIVE METHOD

Bilateral adrenal masses were discovered incidentally in a patient wit h beta-thalassaemia intermedia. Endocrine investigations showed that t he adrenal lesion was hormonally inactive. Extramedullary haemopoiesis involving the adrenal glands was suggested by the presence of reticul oendothelial tissue as demonstrated by bone marrow scintigraphy using Technetium Tc-99m nanocolloid, This report illustrates the use of non- invasive functional imaging techniques in the management of adrenal 'i ncidentalomas', which in this case turned out to be a rare presentatio n of extramedullary haemopoiesis.