Primary aldosteronism with cortisol overproduction from bilateral multiple adrenal adenomas. 
A 55-year-old woman with bilateral multiple adenomas showed hypertension, muscle weakness, hypokalemia, moon-like face and truncal obesity.  Increased serum and urinary levels of aldosterone were observed.  Serum cortisol level did not show a normal circadian rhythm.  Microscopic examination of the resected tumors showed two types of adenoma cells; one (golden yellow tumor) was a large clear cell with foamy cytoplasm which possibly secreted aldosterone and the other (dark brown tumor) was an acidophilic cell with lipofuscin which might have produced cortisol.  This is a very rare case of primary aldosteronism with Cushing's syndrome due to multiple bilateral adrenal adenomas.