case_images: PMC2902211_01
case_images: The patient with masculine facial features
case_images: IJMPO-30-24-g001.jpg
case_images: PMC2902211_01_IJMPO-30-24-g001.jpg
case_images: F0001
case_images: On examination the patient had features of hirsutism, suggested by facial appearance resembling that of a male with facial hair, with hair also present on her upper limbs and back [Figure 1].
case_images: PA view of chest showing fracture of left clavicle
case_images: IJMPO-30-24-g002.jpg
case_images: PMC2902211_01_IJMPO-30-24-g002.jpg
case_images: F0002
case_images: Skiagram of postero-anterior view of the chest revealed a fracture of the left clavicle [Figure 2].
case_images: Whole-body bone scan using Tc 99 m showing increased uptake by left clavicle and distal third of left femur
case_images: IJMPO-30-24-g003.jpg
case_images: PMC2902211_01_IJMPO-30-24-g003.jpg
case_images: F0003
case_images: A whole-body bone scan (isotopic skeletal survey) with 99 m technetium-methylene diphosphonate revealed abnormally increased uptake over the left clavicle and distal end of left femur [Figure 3].
case_images: Computerized tomography scan of abdomen showing a heterogeneous suprarenal mass on the left side and a heterogeneous space occupying lesion in the liver
case_images: IJMPO-30-24-g004.jpg
case_images: PMC2902211_01_IJMPO-30-24-g004.jpg
case_images: F0004
case_images: CT scan of the whole abdomen revealed multiple ill-defined hypodense enhancing space occupying lesions of varying sizes involving both lobes of the liver [Figure 4].
case_images: Fine-needle aspiration cytology of the left adrenal mass showing carcinomatous cells
case_images: IJMPO-30-24-g005.jpg
case_images: PMC2902211_01_IJMPO-30-24-g005.jpg
case_images: F0005
case_images: Ultrasonography (USG)-guided fine-needle aspiration cytology (FNAC) from the left adrenal swelling showed malignant cells, possibly adrenocortical carcinoma [Figure 5].