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A previously healthy, 37-year-old man presented to his primary care physician with new-onset hypertension, cough, and dyspnea.
He was initially diagnosed with asthma and was treated with inhalation corticosteroids.
Despite treatment, his symptoms worsened over a 3-month period. Although previously
athletic, he developed exercise intolerance, orthopnea, and paroxysmal nocturnal dyspnea.
His symptoms prompted admission to a community hospital to rule out pulmonary embolism.
Contrast computed tomography of the chest instead demonstrated a 5.3 × 4.8-cm left
adrenal tumor (Fig).
This section features outstanding photographs of clinical materials selected for their
educational value or message, or possibly their rarity. The images are accompanied
by brief case reports (limit 2 typed pages, 4 references). Our readers are invited
to sumit items for consideration.
FigInitial preoperative abdominal imaging showing a large pheochromacytoma.
