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  Indian J Med Microbiol
 

Figure 2: a: Ultrasound abdomen shows a large, well encapsulated, solid echogenic mass between the liver and right kidney (RK) Figure 2: b: Plain and contrast computed tomography abdomen reveals a well circumscribed right suprarenal mass predominantly of fat density (-50 to -90 HU) with small peripheral enhancing soft tissue component on the postero-medial aspect of the mass. A punctate focal calcified area is also seen adjacent to the soft tissue component. Incidental note is made of multiple small, calcified granulomatous lesions randomly distributed within the splenic parenchyma Figure 2: c: Suprarenal nature of the mass is confirmed by coronal and sagittal computed tomography images, which also demonstrate inferior displacement of right kidney. Left adrenal gland and bilateral kidneys appears normal Figure 2: d: Magnetic resonance imaging abdomen reveals predominantly hyperintense mass on T1-and T2- weighted images. Multiple gall bladder calculi are also evident Figure 2: e: T2W-fat-suppression image shows loss of signal from large fatty portion of the mass, and persistence of increased signal intensity in areas occupied by hematopoietic tissue and intratumoral bleed Figure 2: f: Double echo chemical shift gradient echo imaging demonstrates few small focal areas of signal loss in out-of-phase (echo time=2.38) image as compared to in-phase image (echo time=4.76), consistent with the presence of microscopic (intracellular) fat, while the major portion of the mass shows high signal intensity consistent with the presence of macroscopic (extracellular) fat

Figure 2: a: Ultrasound abdomen shows a large, well encapsulated, solid echogenic mass between the liver and right kidney (RK)
Figure 2: b: Plain and contrast computed tomography abdomen reveals a well circumscribed right suprarenal mass predominantly of fat density (-50 to -90 HU) with small peripheral enhancing soft tissue component on the postero-medial aspect of the mass. A punctate focal calcified area is also seen adjacent to the soft tissue component. Incidental note is made of multiple small, calcified granulomatous lesions randomly distributed within the splenic parenchyma
Figure 2: c: Suprarenal nature of the mass is confirmed by coronal and sagittal computed tomography images, which also demonstrate inferior displacement of right kidney. Left adrenal gland and bilateral kidneys appears normal
Figure 2: d: Magnetic resonance imaging abdomen reveals predominantly hyperintense mass on T1-and T2- weighted images. Multiple gall bladder calculi are also evident
Figure 2: e: T2W-fat-suppression image shows loss of signal from large fatty portion of the mass, and persistence of increased signal intensity in areas occupied by hematopoietic tissue and intratumoral bleed
Figure 2: f: Double echo chemical shift gradient echo imaging demonstrates few small focal areas of signal loss in out-of-phase (echo time=2.38) image as compared to in-phase image (echo time=4.76), consistent with the presence of microscopic (intracellular) fat, while the major portion of the mass shows high signal intensity consistent with the presence of macroscopic (extracellular) fat