PMC3562608_01
T2-weighted MRI of the abdomen showing bilateral adrenal masses. The left mass measures 4.3 cm and the right mass measures 2.8 cm in greatest dimension.
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fig1
The duplex demonstrated bilateral enlargement of the adrenal glands, and MRI of the abdomen showed high T2 intensity of bilateral adrenal masses with the right-sided mass measuring 4.3 cm and the left-sided mass measuring 2.8 cm (Figure 1).
Histologic sections from the right (a) and left (b) show an alveolar (zellballen) architecture with tumor cells surrounded by a delicate fibrous framework. The tumor cells show variable nuclear pleomorphism and contain granular and basophilic to amphophilic cytoplasm. Hemorrhage (a) and hemosiderin (b) are common in these tumors. Both images are at 200x magnification and are stained with hematoxylin and eosin.
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fig2
He underwent successful laparoscopic bilateral adrenalectomy, and the histopathologic features were consistent with pheochromocytoma (Figure 2).