Presacral extra-adrenal myelolipoma

Discussion:

CT-guided biopsy of the mass returned a diagnosis of either extra-adrenal myelolipoma OR extramedulallary hematopoesis, as both contain hematopoetic tissue on pathological analysis. Because the patient did not have any bone marrow abnormalities to support the diagnosis of EMH, myelolipoma was felt to be most likely. 

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