case_images: PMC4081147_01
case_images: Pre-treatment (a) and post treatment (e) lateral lumbar plain film showing fusion and irregular osteolytic destruction of the L1, L2 vertebral bodies (arrow). Pre-treatment (b, c, d) and Post-treatment (f, g, h) CT- abdomen of different phase showing bilateral enlargement of adrenal gland (upper arrow) with irregular enhancement and lesion like changes and decrease in adrenal gland size (lower arrow) and significant reduction in adrenal lesions respectively
case_images: PAMJ-17-108-g001.jpg
case_images: PMC4081147_01_PAMJ-17-108-g001.jpg
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case_images: A). An Abdominal CT imaging revealed bilateral adrenal mass like enlargement with irregular enhancement and lesion like changes without calcification (Figure 1 - b-d). TB drugs were stopped but steroid therapy in the form of prednisolone is continued with same dose as earlier. The thoracic lumbar plain film taken later in 2012, that we have presented in the article demonstrated nearly the same finding as shown in the earlier film taken during the initial presentation (Figure 1-e). A CT scan of his adrenal glands documented a relevant reduction of the bilateral adrenal masses and the adrenal lesions were significantly reduced than the earlier CT film along with diminished degree of enhancement (Figure 1-f-h), however it is not conclusive about the restoration of its normal adrenal function.