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A 25-year-old woman with a history of VHL. There are T2-hyperintense lesions (arrow) in the right (A) and left (B) adrenal glands on MR. The right adrenal lesion demonstrates homogenous avid enhancement (C), while the lesion on the left (D) has a central area that does not enhance which likely represents necrosis and a peripheral rim of marked enhancement of similar intensity to the right. These were both confirmed pheochromocytomas on resection.
