Bilateral Adrenal Neuroblastoma

Elkhalil Alymlahi, MD; Mounia Chellaoui; Rachida Dafiri, PhD

Disclosures

Appl Radiol. 2009;38(6):38-39. 

In This Article

Imaging Findings

Sonography of the abdomen demonstrated a bilateral, mixed echogenic mass, enveloping the upper poles of the kidneys. These masses flattened and displaced the kidneys inferiorly (Figure 1). Computed tomography (CT) showed bilateral large masses in the paravertebral region, compressing the upper poles of the kidneys, and crossing the midline, displacing vessels (Figure 2). No calcifications were present in either mass and there was no retroperitoneal adenopathy or hepatic abnormality.

Figure 1.

Sonogram of the upper abdomen. (A) Axial view shows a bilateral, mixed echogenic mass enveloping the upper poles of the kidneys. (B) Longitudinal views show a bilateral, mixed echogenic mass flattening and displacing the kidneys inferiorly.

Figure 2.

CT scans of the abdomen obtained precontrast (A), postcontrast (B and C) and as a frontal reconstruction (D). The images show a bilateral, heterogeneous, suprarenal mass compressing the upper poles of the kidneys, crossing midline and displacing vessels.

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