MRI of the abdomen and pelvis in (A) T1-and (B) T2-weighted axial views.

MRI of the abdomen and pelvis in (A) T1-and (B) T2-weighted axial views.

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A 23-year-old man was incidentally diagnosed on CT scan with a 6.4 cm right adrenal mass during workup for acute abdominal pain, with interval growth to 9.4 cm over 3 months. Given the mass size and concern for potential malignancy, a right open adrenalectomy was performed. Pathologic evaluation confirmed a diagnosis of adrenal ganglioneuroma (AG)...

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... Society guidelines, a low-dose dexamethasone suppression test and late-night salivary cortisol were ordered but unfortunately never completed. A contrast-enhanced MRI was obtained for further characterization of the mass and revealed heterogenous signal, internal enhancing septations, and an absence of fat on both in-and out-of-phase imaging (Fig. 2). No other primary tumors were ...

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