EURORAD ESR

Case 13110

An unusual case of synchronous retroperitoneal paraganglioma and adrenal pheochromocytoma

Author(s)
Scarano AL, Meucci R, Ferrazzoli V, Simonetti G

Rome, Italy;
Email:valentinaferrazzoli@hotmail.it
 
Patient
male, 67 year(s)
 
 
  • Figure 1
    CT
     

    Axial image shows a retroperitoneal round lesion close to the diaphragmatic right pillar and a nodular hypodense lesion close to the lateral side of the left adrenal gland (arrows).

     
    Area of Interest: Adrenals; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Coronal reformation shows an apparent cleavage plane between the lesion close to the diaphragmatic right pillar (arrow) and the right adrenal gland.

     
    Area of Interest: Adrenals; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Coronal reformation shows an hypodense nodular lesion close to the lateral side of the left adrenal gland (arrow).

     
    Area of Interest: Adrenals; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 2
    Contrast-enhanced CT
     

    The arterial phase shows the contrast-enhanced lesion close to the right diaphragmatic pillar and the contrast-enhanced lesion close to the lateral side of the left adrenal gland.

     
    Area of Interest: Adrenals; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Mild contrast-enhancement is appreciable in the venous phase.

     
    Area of Interest: Adrenals; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    The late phase scan shows the persistence of mild enhancement, without significant wash-out.

     
    Area of Interest: Adrenals; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
Axial image shows a retroperitoneal round lesion close to the diaphragmatic right pillar and a nodular hypodense lesion close to the lateral side of the left adrenal gland (arrows).
 
Coronal reformation shows an apparent cleavage plane between the lesion close to the diaphragmatic right pillar (arrow) and the right adrenal gland.
 
Coronal reformation shows an hypodense nodular lesion close to the lateral side of the left adrenal gland (arrow).
 
The arterial phase shows the contrast-enhanced lesion close to the right diaphragmatic pillar and the contrast-enhanced lesion close to the lateral side of the left adrenal gland.
 
Mild contrast-enhancement is appreciable in the venous phase.
 
The late phase scan shows the persistence of mild enhancement, without significant wash-out.
 
 
 
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