Examinations
No abnormal physical signs were disclosed after admission. Vital signs were stable: HR 81 bpm, BP 96/72 mmHg. Laboratory testing revealed nothing special but a moderate renal impairment: serum creatinine 147 μmol/L. Comprehensive endocrine workup confirmed diabetes. Functions of adrenal cortex, adrenal medulla, thyroid gland, parathyroid gland, and pituitary gland were unremarkable (Table 1).
Magnetic resonance imaging (MRI) result was roughly similar to those previously done in other hospitals. MRI revealed multiple nodules in right adrenal gland, pancreas, and para-aortic area, as well as multiple cysts located in the pancreas and kidneys. Further PET/CT showed catecholamine hypermetabolism in those intra-abdominal nodules. We also discovered a marked left kidney atrophy, which may be a postoperative change. Thyroid ultrasonography and pituitary MRI had nothing unusual.