Case contributed by Ahmed Abdrabou
Diagnosis almost certain


Patient was admitted to the ER with hypertensive crisis

Patient Data

Age: 42 years old
Gender: Female

A large, well defined, lobulated soft tissue mass lesion is noted at the right adrenal region. It displaces the IVC anteromedially and the right kidney posteriorly. It exhibits strong heterogeneous contrast enhancement in arterial and venous phases with washout in delayed phase. Average density at the arterial phase about 128 HU. 

Case Discussion

Catecholamines were found in the patient's urinalysis. The diagnosis of pheochromocytoma was suspected on abdominal ultrasound and confirmed by CT. Histopathology confirmed the suspected diagnosis of benign pheochromocytoma.

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