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In our study metabolic disorders was the basic component in manifestations of adrenal incidentalomas to be contributed by dislipidemia, high BMI, age, high levels of hormones and glucose, and to be confirmed by significant changes in the parameters as compared with those in the control group and those in group of patients without metabolic disorders. In addition, significant correlation was established between frequency of metabolic disorders and subclinical hormonal activity, high levels of cortisol and aldosterone, in particular.