Primary adrenal lymphoma presenting as adrenal insufficiency.  A case report and review of literature. 
Primary adrenal lymphoma (PAL) with adrenal insufficiency is a rare entity that has a unique presentation and prognosis when compared to other high-grade B-cell Non-Hodgkin's Lymphomas (NHL).  Radiologic characteristics and image-guided biopsy are helpful in diagnosis.  Current chemotherapy of choice is CHOP [Cyclophosphamide, Hydroxydaunomycin (doxorubicin), Oncovin (vincristine sulfate) and Prednisone].  More cases need to be documented to formulate an effective approach to PAL.