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A 52 years old man, has a round face, acne, and a large hump of fat on the back of his neck. He complains that he is too weak . His labs show : fasting blood glucose level of 170 mg/dL (NR: 80 -100 mg/dL), plasma cortisol levels of 62 g/mL (NR: 3 -31 g/mL) and plasma ACTH level of 0 pg/mL (NR: 0 -100 pg/mL). Based on the information given,
What is the single most likely diagnosis from the following?