Case Study

Adrenal mass with potential for Conn’s Syndrome in a 13 year old FS DSH

A 13-year-old FS DSH with known hyperthyroidism and Grade lll/Vl systolic heart murmur was presented for a bicavity ultrasound. Abnormalities on CBC and serum biochemistry were T4 <0.45; potassium 3.6; and spec fPL 6.4.

DX

Right adrenal mass

Image Interpretation

A right adrenal mass was noted in this patient, measuring 2.0 cm. The mass appears resectable, moderately vascular, and strongly suggests for carcinoma. The region of the left adrenal gland was unremarkable

Outcome

Assessment for UTI warranted. Focusing on the right adrenal mass was recommended in this patient, as there is a very strong potential for Conn’s syndrome. Aldosterone levels recommended as well as blood pressure measurements.