Approach to adrenal masses Quiz: Ace Your Exams
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A 23-year-old woman presents to the primary care clinic for follow-up after an abdominal computed tomography (CT) scan incidentally revealed a 2 cm left adrenal mass. The patient reports feeling more tired over the last several months with occasional mild headaches. There are no associated symptoms of depression, palpitations, blurred vision, or weight loss. Temperature is 37.0ºC (98.6ºF), pulse is 78/min, respiratory rate is 16/min, blood pressure is 152/86 mmHg, and SpO2 is 98% on room air. Body mass index (BMI) is 36 kg/m2. On physical examination, the patient appears fatigued. Cardiopulmonary auscultation is unremarkable. There are skin-colored striae on the abdomen and notable facial acne. Laboratory studies are displayed below. Which of the following is the most likely diagnosis?
| Laboratory Study | Result |
| Sodium | 143 mEq/L |
| Potassium | 2.9 mEq/L |
| Bicarbonate | 29 mEq/L |
| Glucose | 146 mg/dL |
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