Newborn with arterial hypertension and focal renal or adrenal lesion (B-mode ultrasound, 40 mm). Contrast enhanced ultrasound allowed to solve the differential diagnosis. The complete lesion was non-enhancing (contrast injection of Sonovue™, see video). Adrenal hemorrhage is non-enhancing in contrast to adrenal neoplasia.

[Dietrich CF, Buchhorn R]

Take home messages

Contrast enhanced ultrasound (CEUS) allows diagnosis of adrenal hemorrhage and to exclude neoplasia.
CEUS is safe in newborn, children and adults [(1)].

Featured reference

1.              Sidhu PS, Cantisani V, Deganello A, Dietrich CF, Duran C, Franke D, Harkanyi Z, et al. Role of Contrast-Enhanced Ultrasound (CEUS) in Paediatric Practice: An EFSUMB Position Statement. Ultraschall Med 2017;38:33-43.