There are two adrenal glands in the body, one on top of each kidney. The adrenal glands make hormones that regulate the body’s metabolism, response to stress, and salt and water balance. Adrenal nodules (adenomas) are growths inside these glands and are estimated to be present in 1-9% of people. Nodules smaller than 4 cm are most common and usually benign (non-cancerous). Nodules greater than 4 cm in size require further evaluation. Adrenal nodules are usually asymptomatic, but sometimes can overproduce hormones and cause symptoms including: changes in face and body shape, acne, unexplained weight gain or loss, high blood pressure, diabetes, muscle weakness, increase in body hair in women, excessive sweating, abnormal fatigue, and sexual dysfunction.Adenomas contain lipids (fatty content), and when more than 80% of its contents are lipids, they are considered lipid-rich.