Case No. 01 - Answer Submitted
Answer:
BILATERAL ADRENAL HEMORRHAGE
Clues on imaging:

A
B
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‘Mass' lesions in bilateral suprarenal locations, having the following imaging characteristics
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Hyperintense peripheral rim, and central hypointensity on T1W image (A)
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Hyperintensity on T2W image (B)
USG with color Doppler interrogation may show the cystic nature of the lesion. This neonate had a stormy perinatal course, complicated by sepsis. His USG (C) revealed bilateral heterogeneous hypoechoic lesions. Follow up USG revealed a reduction in size of the lesions.

C
Differential diagnoses
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Cystic neurobastoma ( unusual to be found bilaterally)
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Adrenal teratoma ( exceedingly rare, unusual to be found bilaterally)
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Pheochormocytoma is usually not seen at this age
Correct Answer Submitted
01. Hiren Panwala
02. Arjunlokesh N
03. Narasimman Murugan
04. Anuradha Dawani