A 46-year-old man has mild renal failure and hypeension which is proving difficult to manage. CT scan shows both a small adrenal tumor and bilateral hyperplasia. Which of the following is the best test to make a definitive diagnosis?
Option A- Useful for diagnosis of Cushing syndrome Option B- Used for the diagnosis of Pheochromocytoma (which doesn't have renal failure) C/P given as B/L hyperplasia + Small adrenal tumor = ADRENAL ADENOMA (cause of Conn's Syndrome) Option C- Since CT scan has already been done so MRI is not that useful. Option D- useful as it can enable us to see the hormones produced by the tumor.
Dexamethasone suppression test
NP-59 adrenal scintigraph
Adrenal MRI
Selective adrenal vein sampling
Cushing Syndrome