Adrenal carcinoma
Diagnosis almost certain
Updates to Case Attributes
Diagnostic Certainty
was set to
.
Race
changed from Caucasian to .
Presentation
was changed:
The patient presented with hirsutism, central obesity, and striae rubrae. Blood pressure was at 180/110 mm HgmmHg. Blood cortisol levels were elevated and ACTH suppressed. There was a palpable mass in the right upper and middle abdomen.
Body
was changed:
MRI showed a massive tumour between the liver and right kidney, that. The kidney was displaced caudally (Fig. 1). After contrast, the tumour showed heterogeneous enhancement with a large central necrosis (Fig. 2).
The large size of the adrenal mass and the central necrosis is compatible with adrenal cortical carcinoma.
-<p>MRI showed a massive tumour between the liver and right kidney, that was displaced caudally  (Fig. 1). After contrast, the tumour showed heterogeneous enhancement with a large central necrosis (Fig. 2).</p><div id="gmBFhv" style="display: none ! important; visibility: hidden ! important; position: absolute ! important; height: auto ! important; width: auto; z-index: 1410065406 ! important; border: 1px solid rgb(0, 67, 179) ! important; -moz-border-radius: 3px 3px 3px 3px ! important; vertical-align: middle ! important; padding: 1px ! important; margin: 0px ! important; color: rgb(0, 0, 0) ! important; background-color: rgb(168, 236, 255) ! important; font-family: Arial ! important; font-size: 12px ! important; line-height: normal ! important; font-weight: normal ! important; left: 342px ! important; top: 138px ! important;"></div>- +<p>MRI showed a massive tumour between the liver and right kidney. The kidney was displaced caudally (Fig. 1). After contrast, the tumour showed heterogeneous enhancement with a large central necrosis (Fig. 2).</p><p>The large size of the adrenal mass and the central necrosis is compatible with <a title="Adrenal cortical carcinoma" href="/articles/adrenal-cortical-carcinoma-1">adrenal cortical carcinoma</a>.</p>
Tags changed:
- adrenal
- abdominal mri
Updates to Study Attributes
Findings
was added:
Coronal HASTE showing a centrally necrotic tumour displacing the right kidney and its hilum caudally.
Transverse T1 image with fatsat after iv Gd. The mass shows an inhomogeneous enhancement pattern with avascular necrosis..
Images Changes:
Image MRI (T2) ( update )
Perspective
was set to
Coronal.
Single Or Stack Root
was set to
.
Image MRI (T1 C+ fat sat) ( update )
Perspective
was set to
Axial.
Single Or Stack Root
was set to
.
Description
was changed:
Fig. 2
Transverse T1 image with fatsat after iv Gd. The mass shows an inhomogeneous enhancement pattern with avascular necrosesnecrosis.
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