Figure 1.  CT scan (A) and contrast enhanced CT scan (B) showed
an inhomogeneous density of mass (10.5×6.7 cm2) in the left
adrenal region, with cystic changes, scattered calcified foci
(arrow) and inhomogeneous enhancement (arrow). The mass is
ventral to the left kidney and the abdominal aorta. (C) MRI
showed a well-defined mass and showed a mass in the back of
vertebra (arrow). (D1) SPECT showed Tc-99m-MDP highly
accumulated in the tenth of thoracic vertebra and the first and
second lumbar (arrow). (D2) SPECT showed that the whole body
bone scintigraphy is clear, with no abnormal structure detected.
On the left half of the ninth thoracic a radionuclide uptake dot
is visible. Left renal agenesis is seen (arrow). (E)
Ultrasonographic study further demonstrates the mass has an
uneven internal echo (arrow). The mass is irregular in shape and
without a distinct boundary, between the left kidney and spleen.
He et al. Diagnostic Pathology 2013 8:52  
doi:10.1186/1746-1596-8-52 Download authors' original image