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Pheochromocytoma and duplex system

Case contributed by Frank Gaillard
Diagnosis almost certain

Patient Data

Age: Adult

Duplex collecting system on the left, down to mid ureter, with axial image between systems demonstrating a faceless kidney sign. On the right, a heterogeneous adrenal mass is present. 

The right adrenal mass does not show signal-loss on out of phase imaging. 

Case Discussion

The right-sided adrenal mass went on to be shown histologically to be a pheochromocytoma

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