Computed tomography scan with contrast in a 14-year-old adolescent with von Hippel-Lindau syndrome

CT scan with contrast in a 14-year-old adolescent with von Hippel-Lindau syndrome. The axial image (A) and coronal image (B) show large, hyperenhancing rounded masses (thick arrows) arising from both adrenal glands. The largest lesion on the right adrenal gland measured 5.8 cm CC × 3.8 cm TRV × 3.0 cm AP. The less enhancement seen centrally is typical of pheochromocytoma. The multicentric nature of the disease is best seen in the left adrenal gland on the coronal image (thin arrows).