A 58-year-old woman has had truncal obesity, fatigue, and hirsutism for 6 months. Blood pressure is 164/98 mm Hg. Laboratory studies show an increased serum cortisol concentration. ACTH is undetectable. Urinalysis is glucosuria. Which of the following is the most likely cause of these findings?
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A 58-year-old woman has had truncal obesity, fatigue, and hirsutism for 6 months. Blood pressure is 164/98 mm Hg. Laboratory studies show an increased serum cortisol concentration. ACTH is undetectable. Urinalysis is glucosuria. Which of the following is the most likely cause of these findings?
a. Adrenal adenoma
b. Adrenogenital syndrome
c. Autoimmune adrenalitis
d. Basophilic pituitary adenoma
e. Chromophobe pituitary adenoma
f. Small cell carcinoma of the lung
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