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A retrospective chart review was performed for all patients diagnosed with <jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content> during the years 2007\u20132011 at Landspitali Hospital in Iceland, a referral center for the whole country. Workup after detection included salt loading test, positional test, computed tomography, and adrenal vein sampling. Patients with unilateral disease were offered treatment with adrenalectomy. A total of 33 patients were diagnosed with <jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content> during the study period: 17 patients with bilateral disease and 16 with unilateral disease. Results from salt loading test were positive in 90% of patients. In patients with adenoma, 36% were responsive on their positional test and computed tomography scan showed a nodule in 73%. All patients with unilateral disease had a lateralization index \u22653. 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