Case 208 Medical history 18-year-old male patient sought dermatological service due to acne. Physical examination showed blood pressure of 200/140 mmHg, central obesity, edema in the lower limbs, purplish stretch marks on the lower abdomen and plethoric face. He had a history of nephrolithiasis and diagnostic of left adrenalincidentaloma detected from CT. MRI was requested to further study of the injury.Image 1: CT of abdomen and pelvis in coronal section (pre-contrast phase).Image 2: Abdominal CT in cross-section (pre-contrast phase).Image 3: Magnetic Resonance Imaging (MRI) of the upper abdomen, in cross-section. T1 weighted sequence.Question:Based on patient data and images available, which is the most likely diagnosis? Phaeochromocytoma Cushing syndrome Primary aldosteronism Adrenocortical carcinoma Time is Up! Time's up
