case_images: PMC6192140_01
case_images: CT of abdomen showing 8.1 cm heterogeneous left adrenal mass.
case_images: CRIGM2018-8196051.001.jpg
case_images: PMC6192140_01_CRIGM2018-8196051.001.jpg
case_images: fig1
case_images: Computed Tomography (CT) of abdomen showed an 8.1 cm heterogeneous left adrenal mass, several bibasilar lung nodules, and several hypodense liver lesions concerning metastatic disease (Figure 1).
case_images: EUS showing irregular, hypoechoic left adrenal mass measuring 63 x 44 mm.
case_images: CRIGM2018-8196051.002.jpg
case_images: PMC6192140_01_CRIGM2018-8196051.002.jpg
case_images: fig2
case_images: EUS-FNA and CB of the left adrenal mass were performed. EUS revealed an irregular, hypoechoic mass, measuring at least 6.3 cm x 4.4 cm in maximal cross-sectional diameter (Figure 2).
case_images: Two hypoechoic round lesions in the left lobe of the liver.
case_images: CRIGM2018-8196051.003.jpg
case_images: PMC6192140_01_CRIGM2018-8196051.003.jpg
case_images: fig3
case_images: Two hypoechoic round lesions in the left lobe of the liver were also identified but not sampled (Figure 3).
case_images: (a) Spindle cell neoplasm with extensive tumor necrosis. (b) High power view showing fascicular growth pattern and cytological pleomorphism.
case_images: CRIGM2018-8196051.004.jpg
case_images: PMC6192140_01_CRIGM2018-8196051.004.jpg
case_images: fig4
case_images: Pathology revealed a spindle cell neoplasm with extensive necrosis (Figure 4).