Commanded by a two-star Navy SEAL Rear Admiral, NSWCâs mission is to train, equip and deploy SEAL, SWCC (Special Boat operators) and SEAL Delivery Vehicle (SDV) personnel to conduct maritime special operations overseas. It is responsible for the total NSW budget, policies, doctrine, war plans, training curriculum and equipment.
Whereas most unilateral masses are benign or nonfunctional, the bilateral adrenal mass is more likely metastatic disease, hemorrhage, infiltrative disease, congenital adrenal hyperplasia, macronodular Cushingâs syndrome, or bilateral cortical adenomas [ 5 ].n the case of the bilateral adrenal incidentaloma, patients who present with symptoms such as hypotension, dizziness, weight loss, or abdominal pain in the setting of bilateral adrenal masses should be evaluated for adrenal insufficiency using an ACTH stimulation test (Table 1).
Nonfunctional adrenal masses are space-occupying lesions of the adrenal glands that have no hormonal activity. Symptoms, signs, and treatment depend on the nature and size of the mass. The most common nonfunctioning adrenal mass in adults is an adenoma (50%), followed by carcinomas and metastatic tumors. Cysts and lipomas make up most of the remainder. However, the precise proportions depend on the clinical presentation.