PMC9980644_01
(A) CT scan of the abdomen and pelvis with and without contrast. A 4.1 x 3.1 cm left adrenal mass (arrow) with focus of macroscopic fat posteriorly highly supportive of adrenal myolipoma. (B) On GA-68 DOTATATE in the medial inferior aspect, there is relatively focal, moderate to intense radiotracer activity noted (Krenning score 3).
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FIG1
A follow-up adrenal CT scan noted a 4.1 x 3.1 cm left adrenal mass, HU <10, with evidence of macroscopic fat and punctate areas of calcification consistent with adrenal myelolipoma (Figures 1A, 1B).
(A) Myelolipoma with areas fibrosis (Hematoxylin and eosin stain, 20x); (B) mature adipose tissue rich-area of myelolipoma (Hematoxylin and eosin stain, 40x); (C) hematopoietic rich-area of myelolipoma (Hematoxylin and eosin stain, 200x); (D) adrenal cortical adenoma resembling zona fasciculata (Hematoxylin and eosin stain, 200x).
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FIG2
The final pathology revealed a 6 x 4 x 4 cm mixed myelolipoma and adrenocortical adenoma (Figures 2A-2D) without evidence of pheochromocytoma on complete submission of tissue.