PMC4330691_01
CECT Abdomen Showing a 35 x 19 cm Suprarenal Mass Hounsfield Density (HU-19)
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The mass was hypodense, non-enhancing with an attenuation value suggestive of fat i.e., -19 HU in multiple areas with intralesional hemorrhage (Figure 1).
Intraoperative Picture Showing a Large Suprarenal Mass
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The resected specimen was 38 x 20 x 16 cm and weighed 5200 grams with a well circumscribed tumor showing multiple areas of hemorrhage (Figures 2 and 3).
Resected Specimen With a Size of 38 x 20 x 16 cm and Weight of 5200 Grams With Well Circumscribed Tumor Showing Multiple Areas of Hemorrhage
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The resected specimen was 38 x 20 x 16 cm and weighed 5200 grams with a well circumscribed tumor showing multiple areas of hemorrhage (Figures 2 and 3).
Histopathology Showing Adiposities Admixed With Hematopoitic Cells Suggestive of Myelolipoma of Adrenal Gland
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The specimen was sent for histopathology, which revealed mature adipose tissue with tri-lineage hematopoietic elements without any evidence of dysplasia, which confirmed the diagnosis of adrenal myelolipoma (Figure 4).
PMC4330691_02
CECT Abdomen Showing a 23 x 21 cm Suprarenal Mass With Fat and Fluid Density Within it Pushing the Kidney Downwards
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Later CT was performed, which revealed a 23 x 21 cm right suprarenal mass with fat and fluid density within it, pushing the kidney downwards (Figure 5).
Intraoperative Picture Showing a Large Suprarenal Mass With Pus Filled Within it
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Once the patient's general condition improved, he was scheduled for laparotomy and a mass was excised after draining the abscess (Figures 6 and 7).
Resected Specimen Showing Tumor With Residual Cavity After Aspiration of Pus
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Once the patient's general condition improved, he was scheduled for laparotomy and a mass was excised after draining the abscess (Figures 6 and 7).
Histopathology Showing a Mixture of Adipose and Myeloid Elements Suggestive of Myelolipoma of the Adrenal Gland
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The drained pus was sent for culture, which showed pseudomonas sensitive to piperacillin and tazobactam (Figure 8).