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An elderly adult woman presented with upper abdominal pain to the urology department. Imaging studies revealed a right adrenal lesion with central necrosis, abutting the large vessels and suggestive of malignancy. Histopathology showed an encapsulated spindle cell tumor with marked nuclear atypia, cystic change, and hemorrhage. S100 immunomarker was strongly and diffusely positive. Final diagnosis was ancient schwannoma with secondary change. Schwannomas are rare in the adrenal gland, with

Optic neuropathy is a rare and severe complication of thyroid eye disease (TED), comprising four to eight per cent of all the complications that may manifest due to compression of the optic nerve by hypertrophy of the extraocular muscles, inflammation or compromised blood supply to the optic nerve.1 Dysthyroid optic neuropathy appears later in the progression of TED and is rarely the presenting feature. Herein is presented a case of 60-year-old female who initially presented with acute painless unilateral diminution of vision, later diagnosed with TED and compressive optic neuropathy. The signs of TED were found to be subtle in this patient. However, careful clinical examination led to the appropriate diagnosis

This is a case report of 59 years old male with adrenocorticotropic hormone ACTH-independent macronodular adrenal hyperplasia (AIMAH), which is a rare cause of Cushing's syndrome. He was detected to have adrenal lesions incidentally on imaging. The biochemical evaluation was suggestive of endogenous ACTH-independent Cushing's syndrome. Contrast Enhanced CT of the abdomen done to characterize the lesion was suggestive of bilateral macro-nodular adrenal hyperplasia. There was no evidence of cushingoid features except for type 2 diabetes mellitus suggestive of subclinical Cushing's. He was not planned for any immediate medical/surgical management since metabolic control was achieved with oral anti-diabetics (OADs) and anti-hypertensive medications. He is on regular follow up with well-controlled sugars and blood pressure.