Adrenal myelolipoma is a rare benign neoplasm consisting of mature fat and bone-marrow elements. Most lesions are small, unilateral and asymptomatic, discovered incidentally on imaging studies performed for other reasons or at autopsy. In recent years, larger, symptomatic myelolipomas have been successfully resected. They can be asymptomatic, even if their size is massive. Their low incidence seems to be increasing from 0.2% to 10% during the last decade. We report a case of huge adrenal myelolipoma weighing 600 gms which was diagnosed on radiology as well defined adrenal mass. This case is unusual in view of the large size and presence of haemorrhage in <10 cm mass.