Abstract
An 83-year-old man presented to the emergency room with nonspecific abdominal pain, and a subsequent computed tomography (CT) scan revealed bilateral solid adrenal masses measuring 5.5cm on the right and 2.7cm on the left. The average noncontrast Hounsfield unit of adrenal lesions was 32 HU. One month later, a positron emission tomography–CT scan showed hypermetabolism and interval growth of lesions, measuring 6.5cm on the right and 3.9cm on the left, with extensive hypermetabolic retroperitoneal lymphadenopathy (Fig. 1).
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