adrenal, cases Week 256: Case 1 April 26, 2023 pathadmin 1. Presented by Peter Illei, M.D. and prepared by Todd Sheridan, M.D.This a 42-year-old female patient was evaluated for uterine fibroids and on the ultrasound exam a right adrenal mass was noted. Subsequent lab tests showed elevated serum testosterone and serum cortisol within normal limits. In addition, the patient had a 1-year history of hirsutism, acne, and hypertension. MRI was performed that showed a right adrenal tumor measuring 4.0 cm. The patient underwent a right adrenalectomy. At gross exam the adrenal weighed 32.5 grams. On cut sections a 4x3.5x3 cm well-circumscribed nodule was identified that was surrounded by a fibrous capsule and by normal appearing narrow rim of adrenal cortex. No necrosis was grossly noted.PheochromocytomaAdrenal cortical adenoma with oncocytic featuresAdrenal cortical carcinomaMetastatic melanoma 1. Presented by Peter Illei, M.D. and prepared by Todd Sheridan, M.D.This a 42-year-old female patient was evaluated for uterine fibroids and on the ultrasound exam a right adrenal mass was noted. Subsequent lab tests showed elevated serum testosterone and serum cortisol within normal limits. In addition, the patient had a 1-year history of hirsutism, acne, and hypertension. MRI was performed that showed a right adrenal tumor measuring 4.0 cm. The patient underwent a right adrenalectomy. At gross exam the adrenal weighed 32.5 grams. On cut sections a 4x3.5x3 cm well-circumscribed nodule was identified that was surrounded by a fibrous capsule and by normal appearing narrow rim of adrenal cortex. No necrosis was grossly noted.