Adrenal Nodules - Is There a Nodule?

There are rare cases where we do refer people to surgery that have bilateral hyperplasia. The only time I would consider in this particular patient of referring that this patient to surgery is if they just have refractory hypertension. It's just uncontrollable. We've got them on maximal medications and they clearly have an aldosterone excess, renin suppressed. You keep pushing up an MRA like spurn lactone or anything you're you're doing to treat their hypertension and their potassium is still on the lower side. So there's evidence that, you know, you're just not able to give them an up spurn lact one. And then those people we would take to adrenal