Fig. 1

Clinical features of the patient with primary bilateral macronodular adrenal hyperplasia. Computed tomography scan of adrenal glands showed massive enlargement of the adrenal glands and multiple nodules (as shown by arrows) (a, b). Magnetic resonance imaging of the orbital showed bilateral exophthalmos (c). MRI of the pituitary gland was normal (d).Gross pathology of the resected left adrenal gland with nodules of various sizes (e). Histological view of resected adrenal tissue showing the presence of large cortical cells shown by hematoxylin and eosin stain at magnification × 100 (f)