Extra-adrenal pheochromocytoma

Case contributed by Hani Makky Al Salam
Diagnosis probable

Presentation

Young female with hypertension.

Patient Data

Age: Young adult
Gender: Female

A right para-aortic well-defined mass with heterogeneous intermediate-to-high HASTE/T2 and low T1 signal characteristics. Enhancement post contrast is seen. 

ultrasound

A well-defined solid mass lesion noted in the paraspinal region at the mid abdomen measuring 5.4 x 3.7 cm. No significant vascularity is seen. 

Case Discussion

Given the location and appearance of the lesion on MRI, the findings are highly suggestive of an extra-adrenal pheochromocytoma (paraganglioma). 

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