Fig. 6. A 58-year-old woman with adrenocortical carcinoma.

A. Contrast-enhanced coronal computed tomography shows a 7.6-cm solid tumour (arrow) originating from the right adrenal gland. She also had multiple pulmonary metastases (not shown), suggesting stage IV disease. B. Extrahepatic ultrasonography shows the lesion (arrows), which was targeted with an 18-gauge biopsy needle (open arrows). Two biopsy cores were sampled from the lesion periphery, but not the central area of necrosis (asterisk). The histologic diagnosis was adrenocortical carcinoma.