Adrenal Myelolipoma Masquerading as an Adrenal Malignancy

Table 1

Endocrinologic laboratory tests.

Lab test	Patient value	Reference range
Gastrin	177 pg/mL	<100 pg/mL
Renin activity, Pl	6.683 ng/mL/h	0.167–5.380 ng/mL/h
Aldosterone	41.8 ng/dL	</ = 23.2 ng/dL
Plasma normetanephrine, Pl	147.6 pg/mL	0.0–125.8 pg/mL
Plasma metanephrine, Pl	25.2 pg/mL	0.0–88.0 pg/mL
Cortisol AM	0.7 ug/dL	6.0–18.4 ug/dL
Cortisol AM	4.6 ug/dL	6.0–18.4 ug/dL
DHEAS	299 ug/dL	95.0–530.0 ug/dL
DHEAS	598 ug/dL	95.0–530.0 ug/dL
24 hours urine metanephrine	63 mcg/24 h	44–261 mcg/24 h
24 hours urine normetanephrine	169 mcg/24 h	119–451 mcg/24 h
24 hours total urine metanephrine	232 mcg/24 h	211–646 mcg/24 h
Fractionated 24-hour urine epinephrine	4 ug/24 h	0–20 ug/24 h
Fractionated 24-hour urine norepinephrine	23 ug/24 h	0–135 ug/24 h
Fractionated 24-hour dopamine	276 ug/24 h	0–510 ug/24 h
Testosterone	447.0 ng/dL	249.0–836.0 ng/dL
17-Hydroxyprogesterone	6078 ng/dL	27–199 ng/dL
11-Heoxycortisol	40 ng/dL	</ = 76 ng/dL
TSH	7.85 uIU/mL	0.27–4.20 uIU/mL
Free T4	0.9 ng/dL	0.9–1.8 ng/dL
Thyroid peroxidase antibody	1608.0 IU/mL	</ = 34.9 IU/mL
Thyroglobulin antibodies	<20.0	</ = 40.0 IU/mL
ACTH	160.0 pg/mL	7.2–63.3 pg/mL
21-Hydroxylase antibodies	Negative	Negative

Status post 1 mg dexamethasone suppression test.