Presentation
Abdominal pain and diarrhea
Patient Data
Age: 80 years
Gender: Male
From the case:
Adrenal lymphoma
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Post-contrast CT abdomen shows bilateral large adrenal masses, larger on the left side, which extend to cross the midline. Both lesions show inhomogeneous post-contrast enhancement and mildly displace the surrounding solid organs with no invasion. There are multiple discrete retroperitoneal enlarged lymph nodes.
Dense urinary bladder stone.
From the case:
Adrenal lymphoma
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CT guided biopsy of the left adrenal lesion shows diffuse large B-cell lymphoma, non-GC type.
Case Discussion
CT abdomen study shows bilateral adrenal masses. CT-guided biopsy confirmed these as primary adrenal lymphoma which is an uncommon adrenal lesion. When it does occur, it usually presents bilaterally and affects elderly people.
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