Presentation
Sudden onset dyspnea. History of TAH and BSO three years ago.
Patient Data
A large heterogeneously enhancing mass lesion with a necrotic center infiltrated the right adrenal gland with extension into the inferior ven cava
Lymphadenopathy medial to the mass in aortocaval and para-aortic regions
Hypodence mass lesion along with liver parenchyma VII segment that shows peripheral nodular enhancement suggestive of benign lesions as hemangioma
Subcutaneous soft tissue mass lesion in midline hypogastric region
Incisional hernia containing small bowel loops at midline hypogastric region without incarceration and subsequent obstruction
Total abdominal hysterectomy and bilateral salpingo-oophorectomy
Thoracolumbar spine degenerative changes and lumbar spine scoliosis with right-sided concavity.
Filling defects along with left pulmonary artery lower lobe segmental branch
Scattered reticular bands.
The right adrenal mass underwent biopsy and histopathology examination confirmed small cell carcinoma with neuroendocrine differentiation and massive necrosis of ovarian origin.
Case Discussion
Right adrenal gland metastasis and left pulmonary artery lower lobe branches tumoral emboli with the origin of ovarian carcinoma.
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