PMC2939498_01
Pelvic/abdominal X-ray showing osteopenia.
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Due to abdominal pain and distention, an abdominal X-ray was ordered revealing a nonspecific bowel gas pattern, moderate left hip degenerative changes, osteopenic bone changes, and right hip arthroplasty (Figure 1).
Head CT showing encephalomalacia in the right frontal lobe.
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AI was suspected. A random early morning cortisol level was ordered and the patient was started on 50 mg of Hydrocortisone intravenously every 8 hours (Figure 2).
MRI of the brain showing no mass or enhancing lesion.
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A nonenhanced MRI revealed a large area of encephalomalacia in the right frontal lobe related to previous craniotomy, with no acute underlying pathology (Figure 3).