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Pheochromocytoma (Path proven)

Harston CH - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Wilford Hall USAF Medical Center

ABSTRACT

Diagnosis: Pheochromocytoma (Path proven)

History: Hypertension and episodic headaches, palpitations, and diaphoresis.

Findings: CT demonstrates a large left adrenal mass without calcification on the non-contrast CT. The tumor has heterogenous enhancement with central necrotic area.

Ddx: <i>Pheochromocytoma <i>Adrenocortical Carcinoma <i>Metastasis <i>Lipid-poor adenoma [on the unenhanced CT (27HU)]

Dxhow: Elevated urine metanephrines and surgical specimen

Exam: 24 hour urine lab values METANEPHRINE. . . . . 4764 ug/L METANEPHRIN 24H . . . 7146 (45-290) ug/24hr NORMETANEPHRINE . . . 3052 ug/L NORMETA 24H . . . . . 4578 (82-500) ug/24hr METANEPH TOT 24 . . 11724 (120-700) ug/24hr EPINEPHRINE 24H . . . 407 (0.5-20.0) ug/24 Hr NOREPINEPHRINE. . . . 422 ug/L NOREPI 24H. . . . . . 633 (15-80) ug/24 Hr CORTSL PT CHA . . . . . 36.2 H (5.0-18.0) ug/dL

No MeSH data available.


ROI CT density measurement without contrast is 27 HU consistent with necrosis.
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MPX1705_synpic23364: ROI CT density measurement without contrast is 27 HU consistent with necrosis.


Pheochromocytoma (Path proven)

Harston CH - MedPix

ROI CT density measurement without contrast is 27 HU consistent with necrosis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1705&req=5

MPX1705_synpic23364: ROI CT density measurement without contrast is 27 HU consistent with necrosis.

View Article: MedPix Image - MedPix Case

Affiliation: Wilford Hall USAF Medical Center

ABSTRACT

Diagnosis: Pheochromocytoma (Path proven)

History: Hypertension and episodic headaches, palpitations, and diaphoresis.

Findings: CT demonstrates a large left adrenal mass without calcification on the non-contrast CT. The tumor has heterogenous enhancement with central necrotic area.

Ddx: <i>Pheochromocytoma <i>Adrenocortical Carcinoma <i>Metastasis <i>Lipid-poor adenoma [on the unenhanced CT (27HU)]

Dxhow: Elevated urine metanephrines and surgical specimen

Exam: 24 hour urine lab values METANEPHRINE. . . . . 4764 ug/L METANEPHRIN 24H . . . 7146 (45-290) ug/24hr NORMETANEPHRINE . . . 3052 ug/L NORMETA 24H . . . . . 4578 (82-500) ug/24hr METANEPH TOT 24 . . 11724 (120-700) ug/24hr EPINEPHRINE 24H . . . 407 (0.5-20.0) ug/24 Hr NOREPINEPHRINE. . . . 422 ug/L NOREPI 24H. . . . . . 633 (15-80) ug/24 Hr CORTSL PT CHA . . . . . 36.2 H (5.0-18.0) ug/dL

No MeSH data available.