A previously healthy, 37-year-old man presented to his primary care physician with new-onset hypertension, cough, and dyspnea. He was initially diagnosed with asthma and was treated with inhalation corticosteroids. Despite treatment, his symptoms worsened over a 3-month period. Although previously athletic, he developed exercise intolerance, orthopnea, and paroxysmal nocturnal dyspnea. His symptoms prompted admission to a community hospital to rule out pulmonary embolism. Contrast computed tomography of the chest instead demonstrated a 5.3 × 4.8-cm left adrenal tumor (Fig).
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Published online: January 09, 2013
Accepted: November 12, 2012
© 2014 Mosby, Inc. Published by Elsevier Inc. All rights reserved.