Abstract
With the increasing use of cross-sectional imaging, adrenal lesions are frequently identified in routine practice and are seen in
up to 5% of abdominal CTs. A 47-year-old lady came with an incidentally diagnosed right adrenal swelling for 4 months.
Imaging revealed a 15 cm × 13 cm SOL in the right suprarenal region containing a significant amount of fat. The histopathology
report confirmed it to be a Mature Cystic Teratoma with bone, fat, and pultaceous material within. An adrenal lesion to turn
out as a primary adrenal teratoma is extremely rare. The rare occurrence of such a tumor makes this case worthwhile to be
discussed.