PMC9918853_01
Chest radiograph demonstrating bilateral pulmonary infiltrates (case 1).
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FIG1
Chest radiography showed confluent airspace opacification over both lung fields (Figure 1).
CT abdomen with contrast (case 1) - right-sided mixed semi-cystic mass (white arrows) lying inferior to liver and superior to but not arising from the right kidney.. CT: computed tomography
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FIG2
She had received a contrast-enhanced computed tomography (CT) of her abdomen which showed a large 6.5 x 7.3 x 6.9 cm right adrenal mass for which she was referred to the endocrine outpatient clinic (Figure 2).
ECG (case 1) - normal sinus rhythm, no evidence of ischemia.. ECG: electrocardiogram
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FIG3
Following stabilization, an electrocardiogram (ECG) revealed sinus rhythm with no evidence of myocardial infarction (Figure 3).
Hematoxylin and eosin stain of pheochromocytoma (case 1).
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FIG4
Histological examination confirmed the diagnosis of pheochromocytoma (Figures 4, 5).
Synaptophysin immunohistochemistry staining of pheochromocytoma (case 1).
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FIG5
Histological examination confirmed the diagnosis of pheochromocytoma (Figures 4, 5).
PMC9918853_02
Chest radiograph demonstrating bilateral pulmonary infiltrates (case 2).
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FIG6
Her first two admissions occurred over two months and were evaluated with chest radiography (Figure 6) and CT of the abdomen with contrast (Figure 7).
CT abdomen with contrast (case 2) - patchy crazy paving pattern opacification (arrows) seen on lung window at the lung bases.. Crazy paving: ground-glass opacification with superimposed interlobular and intralobular septal thickening.. CT: computed tomography
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FIG7
Her first two admissions occurred over two months and were evaluated with chest radiography (Figure 6) and CT of the abdomen with contrast (Figure 7). This showed lower lung crazy paving (Figure 7), and an incidental right-sided 58 mm adrenal mass (Figure 8).
CT abdomen with contrast (case 2) - large right-sided cystic mass (arrow) seen below the liver but above the level of the kidney.. CT: computed tomography
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FIG8
This showed lower lung crazy paving (Figure 7), and an incidental right-sided 58 mm adrenal mass (Figure 8).
ECG (case 2) - sinus rhythm, Q-waves in V1-V3, subtle ST-depression in V4-V6, I, II, and aVF.. ECG: electrocardiogram
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FIG9
Echocardiogram revealed mid-to-apical regional wall motion abnormalities (RWMAs) with reduced ejection fraction of 40-45%, which improved prior to discharge (Figure 9).
Gross image showing central cystic degeneration of pheochromocytoma (case 2).
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FIG10
Histological examination confirmed a right adrenal gland pheochromocytoma with central infarction (Figures 10-13).
Hematoxylin and eosin staining of pheochromocytoma showing nested growth (case 2).
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FIG11
Histological examination confirmed a right adrenal gland pheochromocytoma with central infarction (Figures 10-13).
S-100 protein immunohistochemistry stain of pheochromocytoma showing partially retained sustentacular cell network (case 2).
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FIG12
Histological examination confirmed a right adrenal gland pheochromocytoma with central infarction (Figures 10-13).
Chromogranin immunohistochemistry stain of pheochromocytoma (case 2).
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FIG13
Histological examination confirmed a right adrenal gland pheochromocytoma with central infarction (Figures 10-13).