case_images: PMC11163314_01
case_images: (A) 18-FDG PET CT done showed a large left adrenal mass, mediastinal, abdominopelvic lymph nodes, metabolically active mesenteric, peritoneal, and omental thickness suggestive of brown fat uptake; (B) Ga-68 DOTANOC PET CT showing a diffuse somatostatin receptor-expressing large soft tissue mass lesion in left adrenal likely pheochromocytoma.
case_images: JAFES-39-1-131-g001.jpg
case_images: PMC11163314_01_JAFES-39-1-131-g001.jpg
case_images: f0001
case_images: This suggested a left adrenal pheochromocytoma with the possibility of an associated lymphoproliferative disorder or active lesions in brown fat (Figure 1A). To describe these extra-adrenal lesions, a Ga-68 DOTANOC PET CT was obtained which showed a diffuse somatostatin receptor-expressing large soft tissue mass lesion in the left adrenal likely to be pheochromocytoma without any other lesion elsewhere in the whole body survey (Figure 1B).