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Conclusions • Our data suggests that tumours with size > 25mm, and HU > 40 are suggestive of functionality. • This will allow for better selection of patients that need extensive investigation. • Larger studies are needed to more accurately set thresholds for further investigation. Results • Functional tumours include 2 phaeochromocytomas & 2 adrenocortical carcinomas. • Correlation coefficient between HU and size was 0.32. • 24hr catecholamines and urine free cortisol were more commonly abnormal in functional tumours. • Lack of statistical significance is most likely related to small sample size. Dilip Abraham, Jadwiga Raasz, Edward Kearney , Stonny Joseph. East Kent Hospitals University NHS Foundation Trust, UK

Elevated hounsfield units and large tumour size on radiological imaging are both suggestive of functionality in incidental adrenal tumours