Cushing syndrome due to the administration of pharmacologic doses of glucocorticoids is common, whereas hypercortisolism from an adrenal mass is quite rare. Adrenal masses are incidentally detected with a prevalence ranging from 8.7–12.4%, and most of these lesions are hormonally inactive. In this article, we describe a unique patient with a glucocorticoid-producing adrenal mass who was diagnos...