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  Indian J Med Microbiol
 

Figure 1: a: Ultrasound abdomen reveals a large, well encapsulated, heterogeneous left suprarenal mass Figure 1: b: On axial plain and contrast-enhanced computed tomography images through upper abdomen, the mass appears to be well circumscribed and predominantly of fat density (-30 to -90 HU). Heterogeneous enhancement pattern is due to presence of enhancing soft tissue component (myeloid tissue) and septations. Few tiny flecks of calcifications are also visible in the lateral wall of the mass Figure 1: c: Coronal and sagittal computed tomography images confirm the adrenal origin of the mass. Left kidney is displaced inferiorly by the mass Figure 1: d: On T1-and T2-weighted magnetic resonance imaging, the mass is predominantly of high signal intensity with interspersed low to intermediate signal intensity hematopoietic elements and hypointense septae. Small linear hyperintense foci posteriorly represent intratumoral bleed Figure 1: e: Fat-saturated T2-weighted gradient echo sequences demonstrate loss of signal intensity in the fatty part of the mass, while the hematopoietic tissue and hemorrhage represent persistent areas of increased signal intensity Figure 1: f: Magnetic resonance cholangiopancreatography (MRCP) shows moderately dilated CBD and central intrahepatic biliary radicals. T2-haste coronal image demonstrates benign stricture at the ampullary end of common bile duct

Figure 1: a: Ultrasound abdomen reveals a large, well encapsulated, heterogeneous left suprarenal mass
Figure 1: b: On axial plain and contrast-enhanced computed tomography images through upper abdomen, the mass appears to be well circumscribed and predominantly of fat density (-30 to -90 HU). Heterogeneous enhancement pattern is due to presence of enhancing soft tissue component (myeloid tissue) and septations. Few tiny flecks of calcifications are also visible in the lateral wall of the mass
Figure 1: c: Coronal and sagittal computed tomography images confirm the adrenal origin of the mass. Left kidney is displaced inferiorly by the mass
Figure 1: d: On T1-and T2-weighted magnetic resonance imaging, the mass is predominantly of high signal intensity with interspersed low to intermediate signal intensity hematopoietic elements and hypointense septae. Small linear hyperintense foci posteriorly represent intratumoral bleed
Figure 1: e: Fat-saturated T2-weighted gradient echo sequences demonstrate loss of signal intensity in the fatty part of the mass, while the hematopoietic tissue and hemorrhage represent persistent areas of increased signal intensity
Figure 1: f: Magnetic resonance cholangiopancreatography (MRCP) shows moderately dilated CBD and central intrahepatic biliary radicals. T2-haste coronal image demonstrates benign stricture at the ampullary end of common bile duct