PMC4817423_01
Axial computed tomography scan showed heterogenous enhancing bilateral adrenal enlargement (arrow) measuring 5.0 x 4.0 cm on the left (attenuation value, 30-40 HU) and 4 x 3.6 cm on the right (attenuation value, 40-50 HU) with peripheral enhancement and septations.
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F1
A repeated CT scan of the adrenals showed persistent bilateral adrenal masses measuring 5 x 4 cm on the left and 4 x 3.6 cm on the right respectively (Figure 1(Fig. 1) and 2(Fig. 2)).
Sagital computed tomography scan showed heterogenous enhancing bilateral adrenal enlargement (arrow).
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F2
A repeated CT scan of the adrenals showed persistent bilateral adrenal masses measuring 5 x 4 cm on the left and 4 x 3.6 cm on the right respectively (Figure 1(Fig. 1) and 2(Fig. 2)).
Histopathology of biopsy specimen from the left adrenal mass which showed numerous thin-walled rounded yeast liked bodies and some with budding (arrow), seen especially within the necrotic area (Grocott stain, x 1000).
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F3
Fine needle aspiration cytology of the left adrenal gland was consistent with histoplasmosis infection (Figure 3(Fig. 3)). 