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There are 4 primary x-ray tests to examine the adrenal glands (and the rest of the abdomen) for the presence of a pheo. Some are better than others and are therefore used routinely, while one or 2 are used infrequently, yet can yield important information when positive.
If the adrenal glands are functioning normally, then cortisol levels will rise with the ACTH stimulation. If they are damaged or not functioning properly, then the cortisol level will be low. A longer version of this test (1-3 days) may be performed to help distinguish between adrenal and pituitary insufficiency.ortisol is produced and secreted by the adrenal glands. Production of the hormone is regulated by the hypothalamus in the brain and by the pituitary gland, a tiny organ located below the brain.