Presentation
Tachycardia, persistent hypertension, high serum norepinephrine, high urinary metanephrine and urinary vanillylmandelic acid (VMA).
Patient Data









A well circumscribed almost ovoid soft-tissue attenuation lesion is seen, centered on the right suprarenal gland. It measures 3 x 2.8 x 2.3 cm. The lesion displays intense contrast enhancement with small areas of necrosis & cystic change. Diffuse subcutaneous fat stranding and nodularity are seen within the gluteal regions bilaterally, likely related to a previous cosmetic procedure.
Case Discussion
Adrenal pheochromocytoma most frequently arise from the chromaffin cells of the adrenal medulla.