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.