RADIOLOGY: ADRENAL: Case# 32992: EXTRA-ADRENAL PARAGANGLIOMA. A 74 year old male with episodes of severe hypertension and elevated urine metanephrines. There is a 3.5 x 2.0 cm fat attenuation mass within the right limb of the right adrenal gland. It does not demonstrate significant enhancement. Adjacent to the right adrenal, is a 4.0 x 3.2 cm irregularly enhancing mass with a center of low attenuation. This displaces the inferior vena cava anteriorly. A definite fat plane is identified between this mass and the right adrenal. No adenopathy is identified. The liver and gallbladder are normal, without focal lesion or biliary dilatation. The pancreas, left adrenal, spleen, GI tract and bladder are all normal.