Presentation
Young female with hypertension.
Patient Data
Age: Young adult
Gender: Female
From the case:
Extra-adrenal pheochromocytoma
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/9388/annotated_viewer_json?iframe=true\u0026lang=us"}
A right para-aortic well-defined mass with heterogeneous intermediate-to-high HASTE/T2 and low T1 signal characteristics. Enhancement post contrast is seen.
From the case:
Extra-adrenal pheochromocytoma
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/9389/annotated_viewer_json?iframe=true\u0026lang=us"}
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).