Beckwith represent adrenal cytomegaly of the fetal cortex. This occurs with BeckwithWiedemannsyndrome. It may uncommonly occur as a focal incidental finding. http://medgen.genetics.utah.edu/photographs/pages/beckwith.htm
Extractions: view 76 KB version These large, lobulated adrenals arose in a case of Beckwith-Wiedemann syndrome. Other abnormalities seen with this rare syndrome include linear fissure of the external ear lobule, macroglossia, hemihypertrophy, genital tract abnormalities, omphalocele, and microcephaly, among others.