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).
Bilateral crackles refers to the presence of crackles in both lungs. Basal or basilar crackles (not to be confused with the basilar artery of the brain) are crackles apparently originating in or near the base of the lung.Bibasal or bibasilar crackles refer to crackles at the bases of both the left and right lungs.rackles, crepitations, or rales (/ËraËls/ RAHLS or /Ëraels/ ËRÃ¦LS) rals are the, clicking, rattling or crackling noises that may be made by one or both lungs of a human with a respiratory disease during. inhalation