OBJECTIVE. The purpose of this study was to characterize the appearanc
e of adrenal ganglioneuroma on CT scans and to define the specific ima
ging features of the tumor. CONCLUSION. Adrenal ganglioneuroma is an u
ncommon benign tumor that is revealed as a solid adrenal mass on CT sc
ans. Specific CT features such as calcification and lesion enhancement
may simulate a primary adrenal carcinoma. However, in our four patien
ts, no signs of local invasion or vascular extension were noted. The s
pecific diagnosis of adrenal ganglioneuroma requires either biopsy or
surgical removal for documentation.