Left Adrenal Mass

50 y/o female

History of DM and HTN

Incidental finding of adrenal mass during sonography for renal stone

Episodes of palpitation and facial redness and Hypertension

PMH: none

DH: Metformine, Valzomix

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Imaging

• CTS: 35 mm mass in left adrenal area with heterogenous density

• MRI: a 33 mm heterogenous mass with internal cystic area, significant signal drop is noted on inphase-opposed phase immages, consistent with benign adenoma

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 Lab 

DHEA: 17.5

Cortisol: 4.8

ACTH: 1.05

Aldosterone: 85.7

Renin: 28.1

Urine 24 hrs VMA: 19.08

Urine 24 hrs Normetanephrine: 796

Urine 24 hrs Metanephrine: 71.4

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