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).
â If adenopathy is unilateral: breast cancer, metastasis, and infectious cellulitis should be. included in the differential diagnosis. â¢ Ipsilateral breast cancer is the most common cause of unilateral axillary adenopathy. â If adenopathy is bilateral: consider the possibility of a systemic process. â¢ Lymphoma, human immunodeficiency virus (HIV), autoimmune or connective tissue disorder.