case_images: PMC4531612_01
case_images: Axial CT scan showed a well-defined 10x10x10 cm-sized mass with homogeneous attenuation in the right suprarenal area.
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case_images: Abdominal CT scan showed a 10x10x10 cm-sized mass in the right suprarenal area which may have originated from the right adrenal gland (Figure 1).
case_images: Diffuse infiltration of atypical large lymphocytes having oval to round or irregular cleaved vesicular nuclei, conspicuous one or several nucleoli and frequent mitotic figures (Hematoxylin & eosin stain, x400).
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case_images: The cytoplasm was clear or amphophilic and moderate in amount (Figure 2).
case_images: Immunohistochemical staining shows diffuse positivity for B-cell marker, CD20 (x200).
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case_images: Neoplastic lymphocytes were positive for B-cell markers (L20, and MB-2) and negative for T-cell markers (L45RO, and L43) (Figure 3).
case_images: Axial CT scan showed a 3x2.5 cm-sized, ill defined, low-attenuated mass in the right suprarenal area.
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case_images: Follow-up CT scan showed a 3x2.5 cm sized ill defined, low attenuated mass in the right suprarenal area, suggesting a remaining mass (Figure 4).
case_images: Follow-up CT scan showed focal thickening of right diaphragmatic crus at the level of the upper margin of the right kidney.
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case_images: The patient received external irradiation with a total tumor dose of 4,000 rad over 4 weeks to the tumor-bearing area andfollow-up CT scan demonstrated focal thickening of the right diaphragmatic crus area at the level of the upper margin of the right kidney (Figure 5).