A 24-year-old man was seen 2 years prior for hematuria, hypertension (165/120 mmHg), and palpitations.The plasma normetanephrine (NMN) level was elevated (9812.4 pg/mL).Computed tomography (CT) showed bilateral adrenal tumors (Fig.1).Of the two tumors on the left adrenal gland, the lesion on the head aspect was relatively large, while that on the feet aspect (arrow) was relatively small and adjacent to the left renal artery.There was one lesion on the right adrenal gland.Positron emission tomography (PET)-CT showed increased radioactive tracer uptake in the regions of the bilateral adrenal tumors (Fig.2).The clinical diagnosis was pheochromocytoma.