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Adrenal myelolipomas are rare and uncommon benign tumours of the adrenal gland. They contain mature adipose tissue and a variable amount of haemopoietic tissue. Most lesions are small, asymptomatic and discovered incidentally. However larger lesions may be symptomatic. Here we describe the imaging and pathological findings in a case of large left adrenal myelolipoma. [Med-Science 2016; 5(1.000): 258-65]