Case of the Month, June 2018

Submitted by  Sardius Chen, MD, and Thomas Learch, MD.


A 59-year-old woman with no significant past medical history presents to the emergency department with acute severe left flank pain at a site of previous intermittent pain for a few years. CT scan was performed.

Question 1: An eccentrically located heterogenous left suprarenal mass is identified. Which of the following are present on these selected images? (Choose all that apply)  

    A. Involvement of the left adrenal gland

    B. Renal parenchymal claw sign/defect

    C. Retroperitoneal lymphadenopathy

    D. Mass abutting the pancreas and small bowel

Portovenous phase CT coronal and axial images:

Answer on next page >

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