97-10-10-discussion-presentation
Problem list
weight gain ,lack of height gain, cushingoid festure
red purple wide striae,muscle weakness,easy bruising
lab: ACTH dependent cushing syndrom
HDDST 》90% supression
pituitary MRI :NL
Chest & abdominopelvic ct : nodule (10 mm ) in left adrenal
octreoscan :high uptake in pituitary gland
