PMC2902211_01
The patient with masculine facial features
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On examination the patient had features of hirsutism, suggested by facial appearance resembling that of a male with facial hair, with hair also present on her upper limbs and back [Figure 1].
PA view of chest showing fracture of left clavicle
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Skiagram of postero-anterior view of the chest revealed a fracture of the left clavicle [Figure 2].
Whole-body bone scan using Tc 99 m showing increased uptake by left clavicle and distal third of left femur
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A whole-body bone scan (isotopic skeletal survey) with 99 m technetium-methylene diphosphonate revealed abnormally increased uptake over the left clavicle and distal end of left femur [Figure 3].
Computerized tomography scan of abdomen showing a heterogeneous suprarenal mass on the left side and a heterogeneous space occupying lesion in the liver
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CT scan of the whole abdomen revealed multiple ill-defined hypodense enhancing space occupying lesions of varying sizes involving both lobes of the liver [Figure 4].
Fine-needle aspiration cytology of the left adrenal mass showing carcinomatous cells
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Ultrasonography (USG)-guided fine-needle aspiration cytology (FNAC) from the left adrenal swelling showed malignant cells, possibly adrenocortical carcinoma [Figure 5].