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Abdominal CT: Abdominal CT reveals about 2cm sized hypodense mass like lesion (arrow) in upper pole of lt. adrenal gland.
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Follow-up abdominal CT scan, 3 years after the first study, revealed 2cm-sized hypodense mass in the upper pole of lt, adrenal gland (Fig. 1).
Gross finding: Lt. adrenal gland shows dark pigmented nodules scattered in a pale thin cortex.
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The cut surface of surgical specimen showed multiple black pigmented nodules with pale atrophic cortex (Fig. 2).
Microscopic finding (low power): Pathologic finding shows Pigmented dark nodules and internodular adrenal atrophy.
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Microscopic finding (high power): Mutiple pigmented granules are apparent in cytoplasm of adrenal cortical cell.
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