Caso 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.




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

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