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Presentation transcript:

Figure 1: 29-year-old man with congenital adrenal hyperplasia (CAH) and testicular masses consistent with bilateral testicular adrenal rest tumors. (a) Grayscale ultrasound “buddyshot” demonstrates large, lobulated, mediastinal testes masses with heterogeneous echogenicity, (b) Sagittal view of the extent of disease in the left testis, (c) Sagittal view of the extent of disease in the right testis, (d) color Doppler demonstrates scant vascular flow, (e) Sagittal view of the extent of blood flow in the left testis, (f) Sagittal view of the extent of blood flow in the right testis, (g) patient underwent treatment for CAH, following treatment the testicular masses have decreased significantly in size. (These figures are reproduced with permission from Zachary Nuffer, Minghao Lu, Jamal Jefferson, Vikram Dogra. Sonographic Spectrum of Testicular Adrenal Rest Tumors. Am J Sonogr 2018 1(15) 1-4)