2 doctors weighed in:

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

2 doctors weighed in
Dr. Steven Chmielewski
Diagnostic Radiology

In brief: Other causes

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.

In brief: Other causes

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.
Thank
1 comment
Dr. Philip Kern
Most Cushing's is pituitary in origin. But the work up is complicated. See an Endocrinologist.
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