A 74 year old women presented with lethargy and weight loss and was found t
o have profound adrenal insufficiency and bilateral adrenal mass lesions. H
istological examination revealed non-Hodgkin's lymphoma. There was no evide
nce of lymphoma outside the adrenal glands. Isolated bilateral adrenal mass
es may rarely be due to primary adrenal non-Hodgkin's lymphoma, which is of
ten associated with adrenal insufficiency.