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A 26 year old man presented with two days of abdominal pain and vomiting. Ultrasonography of his abdomen revealed a right adrenal mass that was confirmed by contrast enhanced (oral and intravenous) computed tomography (CT), which showed a 20 × 12 × 6 cm well defined soft tissue mass in right adrenal region (see fig 1). There were two distinct areas of homogeneous attenuation containing fatty tissue component (AO, CT value –34 to –54 HU) and soft tissue component (BO, CT value + 38 to +44 HU) consistent with adrenal myelolipoma. No areas of haemorrhage or calcification were seen. He was subjected to surgery and tumour histopathology confirmed adrenal myelolipoma.