case_images: PMC8214356_01
case_images: CT scan of the abdomen in 2018 showing large heterogenous enhancing right adrenal mass 11.0x9.8x14.8 cm (yellow arrow).
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case_images: Computed tomography (CT) of the thorax, abdomen, pelvis, including adrenal protocol done in year 2018, showed a large heterogenous enhancing mass with necrotic area arising from the right adrenal gland, measuring 11.0x9.8x14.8 cm (Figure 1), with average attenuation of 40 HU from non-contrast CT, absolute and relative washout were 24% and 12% respectively.
case_images: CT scan of thorax, abdomen, pelvis in 2018 revealing paraspinal mass (red arrow). Right kidney is displaced inferiorly by the huge right adrenal mass (yellow arrow).
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case_images: Besides this, the paraspinal mass also noted from the CT scan was in keeping with extramedullary hematopoiesis (Figures 2 and 3).
case_images: CT scan of thorax, abdomen, pelvis in 2018 (sagittal view) showing paraspinal mass (red arrow).
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case_images: Besides this, the paraspinal mass also noted from the CT scan was in keeping with extramedullary hematopoiesis (Figures 2 and 3).
case_images: CT scan of the abdomen in 2020 showing size reduction of the right adrenal mass 9.8 x 8.8 x 13.2 cm (yellow arrow) and paraspinal mass (red arrow).
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case_images: Computed tomography scan of the abdomen was repeated in year 2020 and showed size reduction of the right adrenal mass and paraspinal mass (Figure 4).