case_images: PMC2939498_01
case_images: Pelvic/abdominal X-ray showing osteopenia.
case_images: CRM2010-846534.001.jpg
case_images: PMC2939498_01_CRM2010-846534.001.jpg
case_images: fig1
case_images: Due to abdominal pain and distention, an abdominal X-ray was ordered revealing a nonspecific bowel gas pattern, moderate left hip degenerative changes, osteopenic bone changes, and right hip arthroplasty (Figure 1).
case_images: Head CT showing encephalomalacia in the right frontal lobe.
case_images: CRM2010-846534.002.jpg
case_images: PMC2939498_01_CRM2010-846534.002.jpg
case_images: fig2
case_images: AI was suspected. A random early morning cortisol level was ordered and the patient was started on 50 mg of Hydrocortisone intravenously every 8 hours (Figure 2).
case_images: MRI of the brain showing no mass or enhancing lesion.
case_images: CRM2010-846534.003.jpg
case_images: PMC2939498_01_CRM2010-846534.003.jpg
case_images: fig3
case_images: A nonenhanced MRI revealed a large area of encephalomalacia in the right frontal lobe related to previous craniotomy, with no acute underlying pathology (Figure 3).