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.

Based on patient data and images available, which is the most likely diagnosis?

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