case_images: PMC10859625_01
case_images: CT abdomen with contrast: bilaterally enlarged adrenals with hemorrhage and periadrenal infiltration (yellow arrows)
case_images: cureus-0016-00000052109-i01.jpg
case_images: PMC10859625_01_cureus-0016-00000052109-i01.jpg
case_images: FIG1
case_images: A high-resolution CT scan of the chest ruled out pulmonary embolism but revealed significant bilateral adrenal enlargement due to spontaneous bilateral adrenal hemorrhages (Figure 1).
case_images: PMC10859625_02
case_images: Primary pulmonary lesion on the right upper lobe (yellow arrow)
case_images: cureus-0016-00000052109-i02.jpg
case_images: PMC10859625_02_cureus-0016-00000052109-i02.jpg
case_images: FIG2
case_images: Subsequent imaging showed a pulmonary mass in the right upper lobe, suggesting malignancy with metastases (Figure 2).
case_images: T2 MR imaging with contrast: mixed enhancement and non-enhanced center, particularly in the left adrenal gland (yellow and red arrows)
case_images: cureus-0016-00000052109-i03.jpg
case_images: PMC10859625_02_cureus-0016-00000052109-i03.jpg
case_images: FIG3
case_images: PMC10859625_03