MRI scan of the bilateral adrenal glands reveals agenesis of the right (A) and hypoplasia of the left (B) adrenal glands. Hydrocortisone malabsorption due to polyethylene glycols (Macrogol 3350) in a girl with congenital adrenal insufficiency: Stagi S, Del Greco P, Ricci F, Iurato C, Poggi G, Seminara S, de Martino M - Italian journal of pediatrics (2014). Not altered. CC.
Decreased ACTH due to CNS Disorder Cause Primary Chronic adrenocortical insufficiency is due to decreased production of ACTH which dues not stimulate cortisol production.