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Fig. 2 | BMC Endocrine Disorders

Fig. 2

From: A case of autonomous cortisol secretion in a patient with subclinical Cushing’s syndrome, GNAS mutation, and paradoxical cortisol response to dexamethasone

Fig. 2

Imaging studies of extra-adrenal tumors in this patient. a A convexity meningioma 21 × 13 × 18 mm in size on enhanced T1WI MRI of the Head (arrow). The pituitary tumor is not marked. b A hyperechoic lesion about 14 mm in size in the interventricular septum on echocardiography (arrow). c Cervical ultra-sonography revealed four tumors in both thyroid lobes (arrow). d Colonoscopy shows tubular adenocarcinoma in the colon. This tumor was later resected, but the status of GNAS mutation was not assessed. e Enhanced abdominal computed tomography showed cystic lesions compatible with intraductal papillary mucinous neoplasm in the pancreatic body (arrow). f Brown patchy pigmentations were observed systemically. Skin appearance with patchy pigmentations of bilateral lower limbs is shown. g X-ray imaging and bone scintigraphy with 99mTc-scintigraphy did not indicate fibrous dysplasia

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