Cystic adrenal neuroblastoma
Abdominal distension. Elevated neuron-specific enolase (NSE).
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MRI demonstrates a cystic lesion in the right adrenal gland. The thin wall of the cystic lesion is contrast-enhanced. Additionally, a nodular lesion was seen compatible with metastasis in the left lobe of the liver (red arrow).
Cystic adrenal neuroblastoma with liver metastasis is a rare condition. MRI revealed that the lesion was cystic in nature with the thick walls of the lesion showing contrast-enhancement. No solid components were detected in the lesion. Differential diagnosis in adrenal masses includes hamartoma and hemorrhage. Most cystic neuroblastomas have a good prognosis and show spontaneous regression.
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