The patient was presented for heavy breathing, panting, excessive throat clearing, weight loss. Altered CBC/Chem/UA values: BW-NSF. Radiograph Findings: chest rads-NSF.
The patient was presented for heavy breathing, panting, excessive throat clearing, weight loss. Altered CBC/Chem/UA values: BW-NSF. Radiograph Findings: chest rads-NSF.
Serial blood pressure measurements +/- full adrenal panel was recommended. A recheck sonogram was recommended in 1-2 weeks to assess for any progression of the lesion. There is one portion of the adrenal gland nodule that is concerning and has focal, capsular expansion. Pheochromocytoma, adenocarcinoma and adenoma are all possible. Surgery found pheochromocytoma.
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Abdomen: The left adrenal gland presented a hyperechoic 1.03 cm nodule at the mid cranial pole. The left adrenal gland measured 2.57 cm in length. The left adrenal gland nodule presented capsular expansion without capsular escape with no evidence of vascular invasion. This appears resectable. The right adrenal gland was uniform and measured 3.07 x 0.68 cm at the caudal pole and 0.54 cm at the cranial pole.
Echocardiogram: Chronic degenerative valve disease causing moderate mitral and tricuspid regurgitation.
