A right adrenal cystic lesion with a mural based isodense nodule suggestive of a complex adrenal cyst.
Surgical excision was performed grossly showing a right adrenal cystic mass with a wall thickness 0.2-0.4 cm, smooth surface with a well defined soft tissue like brownish material within measuring 2.5 x 1.5 cm. Microscopic appearance showed a fibrotic wall with no epithelial or endothelial lining. The cyst contains only blood with no malignancy detected.