Diagnostic Testing for Elevated Cortisol in the Setting of an Adrenal Mass

Naykky Singh Ospina, William F. Young, Hans K. Ghayee

Research output: Contribution to journalReview articlepeer-review


A 66-year-old man with history of type 2 diabetes, hypertension, and dyslipidemia presented with a 3.1-cm left adrenal mass, detected on a computed tomographic (CT) scan (performed to evaluate bilateral lung infiltrates identified on chest radiograph during evaluation of chronic cough). He had no headache, palpitations, fatigue, muscle weakness, or weight change. His medications were glipizide, metformin, metoprolol, and atorvastatin. He had no history of fractures or osteoporosis. His blood pressure was 139/88 mm Hg, heart rate 92 beats/min, and body mass index (BMI; calculated as weight in kilograms divided by height in meters squared) 37.0. Purple striae, proximal muscle weakness or supraclavicular fat pads were not present. The mass was round and homogenous with a CT attenuation of 24 Hounsfield units (HU). Laboratory evaluation was performed (Table).

Original languageEnglish (US)
Pages (from-to)1373-1374
Number of pages2
JournalJAMA - Journal of the American Medical Association
Issue number13
StatePublished - Oct 2 2018

ASJC Scopus subject areas

  • General Medicine


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