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This really is an instance report of a 72-year-old just who served with a three-month reputation for being typically unwell. Investigations revealed bilateral adrenal public with an optimistic short synacthen test (SST) for adrenal insufficiency. Adrenal insufficiency was handled with hydrocortisone and fludrocortisone as the biopsy showed diffuse large B-cell lymphoma (DLBCL). He underwent positron emission tomography/computed tomography (PET/CT) which revealed adrenal hypermetabolic infection