PMC7103037_01
CECT abdomen showing bilateral adrenal masses (white arrows).
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fig1
An urgent CECT chest and abdomen revealed bilateral well-defined homogenously enhancing adrenal masses (left side-6.9 * 3.7 * 5 cm and right side-5.3 * 3.4 * 5.4 cm in size) with mild hepatosplenomegaly and patchy para-aortic lymphadenopathy (Figure 1).
Gomori methenamine silver (GMS) stained adrenal biopsy specimen. Some of the fungal spore clusters are shown with white arrows.
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fig2
With the Gomori-Grocott methenamine silver (GMS) staining, there were numerous fungal spores which were morphologically similar to Histoplasma in the necrotic and adjacent tissues (Figure 2).