case_images: PMC10894010_01
case_images: CT scan of the abdomen (axial view) with contrast showing the left adrenocortical carcinoma (red arrow).
case_images: cureus-0016-00000052929-i01.jpg
case_images: PMC10894010_01_cureus-0016-00000052929-i01.jpg
case_images: FIG1
case_images: Incidentally noted was a large rounded heterogeneously enhancing mass in the left suprarenal region measuring 8.7 x 7.4 x 7.3 cm, separate from the left kidney and abutting the spleen, a pancreatic tail with a direct extension into the left renal vein, and an inferior vena cava (IVC) with an uncertain cephalad extent (Figures 1, 2, 3).
case_images: CT scan of the abdomen (coronal view) with contrast showing the left adrenocortical carcinoma (red arrow).
case_images: cureus-0016-00000052929-i02.jpg
case_images: PMC10894010_01_cureus-0016-00000052929-i02.jpg
case_images: FIG2
case_images: Incidentally noted was a large rounded heterogeneously enhancing mass in the left suprarenal region measuring 8.7 x 7.4 x 7.3 cm, separate from the left kidney and abutting the spleen, a pancreatic tail with a direct extension into the left renal vein, and an inferior vena cava (IVC) with an uncertain cephalad extent (Figures 1, 2, 3).
case_images: CT scan of the chest (axial view) with contrast showing the left pulmonary embolism (red arrow).
case_images: cureus-0016-00000052929-i03.jpg
case_images: PMC10894010_01_cureus-0016-00000052929-i03.jpg
case_images: FIG3
case_images: Incidentally noted was a large rounded heterogeneously enhancing mass in the left suprarenal region measuring 8.7 x 7.4 x 7.3 cm, separate from the left kidney and abutting the spleen, a pancreatic tail with a direct extension into the left renal vein, and an inferior vena cava (IVC) with an uncertain cephalad extent (Figures 1, 2, 3).
case_images: CT scan of the abdomen (axial view) with contrast showing the left adrenocortical carcinoma (red arrow) with extension into the inferior vena cava.
case_images: cureus-0016-00000052929-i04.jpg
case_images: PMC10894010_01_cureus-0016-00000052929-i04.jpg
case_images: FIG4
case_images: CT chest with contrast showed a band of plate-like atelectasis seen within the left lower lobe of the lung along with pulmonary arterial filling defects within both lower lobes of the lung consistent with peripheral pulmonary embolism (Figures 4, 5). 
case_images: CT scan of the chest (axial view) with contrast showing the right pulmonary embolism (red arrow).
case_images: cureus-0016-00000052929-i05.jpg
case_images: PMC10894010_01_cureus-0016-00000052929-i05.jpg
case_images: FIG5
case_images: CT chest with contrast showed a band of plate-like atelectasis seen within the left lower lobe of the lung along with pulmonary arterial filling defects within both lower lobes of the lung consistent with peripheral pulmonary embolism (Figures 4, 5). 