case_images: PMC4857720_01
case_images: CT findings: 5x4 cm right adrenal mass and 10x8.4x7.4 cm left adrenal mass with minimal surrounding inflammation.
case_images: JCHIMP-6-30381-g001.jpg
case_images: PMC4857720_01_JCHIMP-6-30381-g001.jpg
case_images: F0001
case_images: In the emergency department, due to the change in mental status, the patient received CT scans of the brain and chest which were normal, but CT of the abdomen revealed a 1.5x4 cm right adrenal mass and a 10x8.4x7.4 cm heterogeneous left adrenal mass with no other positive findings in pelvis (Fig. 1).
case_images: Pathology report high-power view - positive for neoplastic lymphoma cells. High volume of lymphocytes showing high nuclear-cytoplasmic ratios (arrow).
case_images: JCHIMP-6-30381-g002.jpg
case_images: PMC4857720_01_JCHIMP-6-30381-g002.jpg
case_images: F0002
case_images: Flow cytometry showed mixed phenotype and immature monocyte population A left adrenal mass core biopsy was reported as large B-cell lymphoma with non-germinal center and diffuses reactivity for CD20 and for CD43 (Figs. 2 and 3).
case_images: Pathology report: Large B-cell lymphoma non-germinal center type. Neoplastic cells show diffuse reactivity for CD20 and for CD43. Background T cells are reactive for CD3. No reactivity for pan-cytokeratin, CD56, S-100 protein, chromogranin, synaptophysin, or TTF-1.
case_images: JCHIMP-6-30381-g003.jpg
case_images: PMC4857720_01_JCHIMP-6-30381-g003.jpg
case_images: F0003
case_images: Flow cytometry showed mixed phenotype and immature monocyte population A left adrenal mass core biopsy was reported as large B-cell lymphoma with non-germinal center and diffuses reactivity for CD20 and for CD43 (Figs. 2 and 3).