EURORAD ESR

Case 9214

Synchronous pericardial paraganglioma and cystic adrenal pheochromocytoma

Author(s)
Soler R, Méndez C, Rodríguez E, Flores X*.
Departments of Radiology and Cardiology*, Complexo Hospitalario Universitario A Coruña, A Coruña, Spain
 
Patient
female, 37 year(s)
 
 
  • Figure 1
    Axial TSE-T2 weighted image

    Right hyperintense adrenal mass (arrows) with hypointense septa.

     
    Area of Interest: Adrenals; Imaging Technique: MR; Procedure: Imaging sequences;
     
     
  • Figure 2
    Axial contrast-enhanced T1-weighted MR image

    Contrast enhanced MR image obtained during the nephrographic phase, showing enhancement of the wall of the mass (arrowhead).

     
    Area of Interest: Adrenals; Imaging Technique: MR; Procedure: Imaging sequences;
     
     
  • Figure 3
    Coronal TSE-T2-weighted image

    A mass (arrows) in the mediastinum adjacent to the right atrium with serpiginous areas of signal void interspersed with areas of high signal intensity (salt-and-pepper pattern can be seen).

     
    Area of Interest: Mediastinum; Imaging Technique: MR; Procedure: Imaging sequences;
     
     
  • Figure 4
    Axial steady state free precession (SSFP) cine MR image

    Axial SSFP cine MR image shows a well-defined heterogeneous intermediate mass with smooth extrinsic compression of the hypointense right atrial wall (arrow) and a small amount of pericardial fluid (arrowhead).

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Imaging sequences;
     
     
  • Figure 5
    Axial T1-weighted SE-EPI image

    Mass showing heterogeneous signal intensity with multiple serpentine and punctate areas of signal void on axial T1-weighted SE-EPI

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Imaging sequences;
     
     
  • Figure 6
    Contrast-enhanced first-pass perfusion image

    The mass shows intense heterogeneous enhancement (arrows).

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Imaging sequences;
     
     
Right hyperintense adrenal mass (arrows) with hypointense septa.
 
Contrast enhanced MR image obtained during the nephrographic phase, showing enhancement of the wall of the mass (arrowhead).
 
A mass (arrows) in the mediastinum adjacent to the right atrium with serpiginous areas of signal void interspersed with areas of high signal intensity (salt-and-pepper pattern can be seen).
 
Axial SSFP cine MR image shows a well-defined heterogeneous intermediate mass with smooth extrinsic compression of the hypointense right atrial wall (arrow) and a small amount of pericardial fluid (arrowhead).
 
Mass showing heterogeneous signal intensity with multiple serpentine and punctate areas of signal void on axial T1-weighted SE-EPI
 
The mass shows intense heterogeneous enhancement (arrows).
 
 
 
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