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A. Wilms Tumor - False: this is a renal mass lesion. The lesion in question is suprarenal.
B. Neuroblastoma - False: this is a suprarenal lesion. However, neuroblastomas affect a younger patient population.
C. Myelolipoma - False: This is a suprarenal lesion. However, myelolipomas do not demonstrate high T2 signal.
D. Paraganglioma - TRUE: When involving the adrenal medulla this is also known as a pheochromocytoma and typically has very high T2 signal.