POMC and Cushing syndrome due to macronodular adrenal hyperplasia: Baseline morning cortisol was elevated at 25 μg/dL (reference range: 6.2 - 20 μg/dL), with an ACTH level of 19.26 pg/mL (reference range: 7.1 - 56.3 pg/mL), raising suspicion for Cushing’s syndrome.