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Adrenal cysts are classified as true cysts and pseudocysts. They are asymptomatic and an incidental finding in computed tomography and magnetic resonance imaging. True cysts have a definite lining, whereas pseudocysts lack a lining. Pseudocysts can be either hemorrhagic, parasitic or cystic degeneration of a malignant primary or metastatic tumor. We report a case of adrenal pseudocyst in a 5 year old child.