Presentation
Uncontrolled hypertension.
Patient Data
Well-circumscribed ovoid right suprarenal soft tissue mass centered on the adrenal gland, slightly hypodense to the liver on non-enhanced CT with no calcification, hemorrhage or fatty component. The postcontrast CT demonstrates a heterogeneous enhancement mainly peripheral with central necrotic areas.
Splenic mass stable on follow-up ultrasound over 3 years following surgery (probably hemangioma).
Case Discussion
CT features of a heterogeneously enhancing adrenal mass in a patient with uncontrolled hypertension, highly suggestive of a pheochromocytoma.
The patient went on to have a complete surgical resection of the right adrenal gland with a histopathological exam/immunohistochemistry study that confirmed the diagnosis of pheochromocytoma.
The MRI of the splenic mass (not available) was suggestive of hemangioma and the mass was stable on follow-up ultrasound over 3 years following surgery.
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