A member asked:

Extremely high cortisol (48), low acth, and cushing's symptoms, but no adrenal mass found on ct. if not adrenal, what can this be?

A doctor has provided 1 answer
Dr. Steven Chmielewski answered

Specializes in Diagnostic Radiology

Of cushing syndrome are pituitary tumors (cushing's disease), pancreatic islet cell tumors, exogenous steroid use (most common) and other tumors that are derived from nerve/endocrine cells. Sometimes a very small, active adrenal adenoma is not seen on ct, MRI may be better.

Answered Mar 12, 2020

4.9k views

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