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