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Rare case of angiosarcoma of the adrenal gland seen with multiple modalities

CASE SUMMARY A 72-year-old female with a prior history of breast cancer presented with mild acute kidney injury. She underwent renal ultrasonography which identified a mass and prompted further imaging. An MRI demonstrated a nonspecific large left suprarenal mass which was subsequently resected. Pathology demonstrated the mass to be angiosarcoma. A six-month postoperative FDG PET-CT was preformed which showed new hypermetabolic focus in the left prevascular mediastinum. Subsequent CT-guided biopsy revealed metastatic disease.