Figure 2: Excision biopsy sections of right adrenal gland. (a) Amorphous eosinophilic material with adjacent compressed adrenal gland (arrow) (H and E x200). Inset showing apple green birefringence under polarized light (Congo red x400). (b) Areas of necrosis with neutrophilic infiltrate (H and E, x100). Inset showing positive immunostaining with Serum Amyloid Associated antibody (SAA-IHC x400). Author contribution – AT- concept, data collection, writing, and cytopathologic images. HS—design, collection of data, and writing. NC, RP, and AS—EUS image, collection, and interpretation of data. IM—Histopathologic images and interpretation of data. All authors read, edited, and reviewed the manuscript.