A 55-year-old woman presents to her primary care physician for routine follow-up. She is generally healthy, with a history of well-controlled hypertension and no significant family medical history. The patient reports no symptoms of concern but mentions that she has recently had a CT scan for abdominal pain that turned out to be benign, related to indigestion.

The CT scan incidentally revealed a 3 cm, well-defined, hypodense mass on her right adrenal gland. The mass was discovered while evaluating the abdominal pain and was noted as an incidental finding, as the patient has had no significant changes in her weight, appetite, or energy levels.

The patient denies any symptoms like sweating, palpitations, headaches, or unintentional weight loss. Physical examination is unremarkable, with normal vital signs. She is not experiencing any symptoms of Cushing’s syndrome, pheochromocytoma, or hyperaldosteronism.

Given the discovery of the adrenal incidentaloma, further investigation is recommended to evaluate its functional status and size.

Management Plan: The patient will undergo further evaluation, including a measurement of plasma aldosterone levels, a 24-hour urine catecholamine collection, and additional imaging studies such as an MRI to assess the characteristics of the mass more closely. Based on these results, management may range from regular monitoring to surgical removal if the mass is found to be hormonally active or potentially malignant.