1397-1-20-case-peresentation

• We here in present the case of 41-year-old man with bilateral adrenal mass.he had history of MNG,20 years ago; managed with subtotal thyroidectomy due to large goiter size.the patient has been taking levothyroxine100 mcg daily. Ever since he –also-a history of focal segmental glomerulosclerosis (FSGS) since 17years ago that has been being treated with prednisolone and sandimmune(just fore few month long ago).he is currently taking prednisolone 30mg and losartan25mg twice daily.