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Retroperitoneum » Adrenal Glands
Adrenal tumor - neuroblastoma
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Author(s) :
Ravi Kadasne, MD
 
Presentation A 3 year old child presented with pain and a lump in the right side of the abdomen. An ultrasound was performed.
 
 
 
Caption: Sagittal scans of the right upper quadrant
Description: A well-defined, rounded, mildly lobulated, hypoechoic mass that is separate from the liver is noted in the right upper quadrant. The mass has areas of calcification and appears to displace the kidney downwards and medially.
 
 
 
Caption: Oblique scan of the right upper quadrant
Description: The mass is noted again displacing the right kidney and is distinctly separate from the kidney. The arrow points to the fine calcific specs seen within the mass.
 
 
 
Caption: Oblique images of the right upper quadrant
Description: The internal characteristics of the mass are displayed in this image. The fine and punctate nature of the calcifications is well demonstrated in this magnified image.
 
 
 
Caption: Oblique images of the mass
Description: This image shows the clear demarcation of the mass from the liver.
 
Differential Diagnosis Right adrenal tumor- neuroblastoma versus a right renal tumor –Wilm’s tumor
 
Final Diagnosis Right neuroblastoma
 
Follow Up The mass was surgically resected and the diagnosis confirmed.