[Suprarenal pheochromocytoma appearance as a multiple round shadowing pattern in lungs]

Pheochromocytoma can mimic a number of other diseases, and that's why it is hard to diagnose. The classic triad of symptoms are episodic headache, excessive sweating and palpitation. Hereby I present a case without any symptoms mentioned above. A 58-year-old patient with controlled hypertension without any previous complaints connected with respiratory tract, was admitted to hospital because of round shadows found in chest X-ray. The attempts to find initial focus as a basis of neoplasma failed. Postmortal histologic examination of the adrenal glands revealed pheochromocytoma with multiple focuses in lungs and mediastinal lymph nodes. Diagnosis pheochromocytoma was as surprising for the physicians as for pathologists despite the presence of a small tumor of the left adrenal gland found previously in CT scan of the abdomen. In case of presence of "round shadows" in lungs connected with changes in adrenal glands one ought to think about pheochromosytoma.