case_images: PMC3551489_01
case_images: Photograph of the female patient shows male pattern of facial hair growth.
case_images: JCIS-2-76-g002.jpg
case_images: PMC3551489_01_JCIS-2-76-g002.jpg
case_images: F1
case_images: There was male pattern of hair distribution [Figure 1].
case_images: Arterial phase axial multidetector computed tomography (MDCT) scan of the abdomen shows a hypervascular heterogeneously enhancing mass with radially arranged vessels (arrows) in the right adrenal region.
case_images: JCIS-2-76-g003.jpg
case_images: PMC3551489_01_JCIS-2-76-g003.jpg
case_images: F2
case_images: Arterial phase scan (acquired at 30 s) showed a tangle of serpiginous, thin intratumoral vessels throughout the mass except in the central stellate nonenhancing area [Figure 2]. The periphery of the mass was supplied by dilated, thick, tortuous vessels arising from phrenic and renal vessels [Figure 2].
case_images: Volume rendered image of the abdomen depicts the hypervascular mass, in the right adrenal area, giving a can-of-worms appearance (arrows).
case_images: JCIS-2-76-g004.jpg
case_images: PMC3551489_01_JCIS-2-76-g004.jpg
case_images: F3
case_images: These vessels gave a can-of-worms like appearance on volume rendered images [Figure 3].
case_images: Axial multidetector computed tomography scan scan of the abdomen in the portal venous phase shows the mass in right adrenal region with early wash-out of contrast and a central nonenhancing area (arrow).
case_images: JCIS-2-76-g005.jpg
case_images: PMC3551489_01_JCIS-2-76-g005.jpg
case_images: F4
case_images: In the venous phase scan (acquired at 60 s), the mass showed homogenous enhancement except for the central nonenhancing area [Figure 4].
case_images: Image of the well-encapsulated mass measuring 16 x 12 cm removed by surgery.
case_images: JCIS-2-76-g006.jpg
case_images: PMC3551489_01_JCIS-2-76-g006.jpg
case_images: F5
case_images: The tumor was round in shape and well encapsulated [Figure 5].
case_images: Hematoxylin and eosin stain at 400x of the smear shows sheets of oncocytic cells with uniform round nuclei and abundant eosinophilic cytoplasm.
case_images: JCIS-2-76-g007.jpg
case_images: PMC3551489_01_JCIS-2-76-g007.jpg
case_images: F6
case_images: Necrosis was seen in the smears [Figure 6].