21067996 Visualization

A 41 Age - year Age - old Age man Sex with weight Sign_symptom loss Sign_symptom , nausea Sign_symptom , vomiting Sign_symptom , and abdominal Biological_structure pain Sign_symptom was referred Clinical_event for an abdominal Biological_structure CT Diagnostic_procedure scan Diagnostic_procedure to rule out intraabdominal Disease_disorder pathology Disease_disorder .
A dedicated CT Diagnostic_procedure of the abdomen Biological_structure was performed at our institution Nonbiological_location according to our standard Detailed_description venous Detailed_description phase Detailed_description protocol Detailed_description .
Following ingestion Administration of positive Diagnostic_procedure oral Diagnostic_procedure contrast Diagnostic_procedure material ( barium Medication sulfate Medication suspension Medication 2.1% Dosage w/v Dosage , Mallinckrodt Detailed_description ) and injection Administration of 125 Dosage   ml Dosage of iopromide Medication , 300 Dosage   mg Dosage   I/mL Dosage ( Ultravist, Detailed_description Bayer Detailed_description HealthCare Detailed_description ), helical Detailed_description CT Coreference was obtained with a 65 Detailed_description - s Detailed_description delays using a 64 Detailed_description - slice Detailed_description GE Detailed_description Lightspeed Detailed_description VCT Detailed_description scanner Detailed_description ( GE Detailed_description Medical Detailed_description Systems; Detailed_description Milwaukee, Detailed_description WI Detailed_description ).
Axial Diagnostic_procedure sections Diagnostic_procedure of the abdomen Biological_structure showed a large Lab_value ( 18×22×22 Volume cm Volume ) heterogeneous Detailed_description retroperitoneal Biological_structure mass Sign_symptom probably arising from the left Biological_structure adrenal Biological_structure gland Biological_structure containing multiple Detailed_description areas Detailed_description of Detailed_description macroscopic Detailed_description fat Detailed_description (Fig.1).
The patient had no History documented History clinical History or History laboratory History evidence History of History adrenal History hormonal History excess History .
On the basis of the clinical history and CT findings, the patient underwent surgical Therapeutic_procedure resection Therapeutic_procedure of the left Biological_structure adrenal Biological_structure mass Sign_symptom , which was found on pathologic Diagnostic_procedure examination Diagnostic_procedure to represent a low Severity - grade Severity adrenocortical Disease_disorder carcinoma Disease_disorder .