患者　男 ,76岁。临床表现间断发热 ,伴体重减轻。查体无阳性体征。B超检查示“双侧肾上腺实质性占位病变”。临床拟诊为肾上腺瘤或肾上腺结核。MRI检查 :双侧肾上腺巨大肿块 ,信号尚均匀 ,边界清楚 ,T1WI上为与肝脏相等或稍低于肝脏信号 ,T2 WI表现为稍高于肝脏信号 ,左侧可见 Male patient, 76 years old. Clinical manifestations of intermittent fever, with weight loss. Physical examination without positive signs. B-ultrasound showed “bilateral adrenal substantive lesions.” Clinical diagnosis of adrenal tumors or adrenal tuberculosis. MRI examination: large bilateral adrenal mass, the signal is still uniform, clear boundary, T1WI with the liver equal to or slightly lower than the liver signal, T2 WI showed slightly higher than the liver signal, the left visible