This is a case report of a 57 year old white male who had had a right upper lobectomy for adenocarcinoma of the lung six months previously. During clinical workup, he was found to have a right adrenal mass. The intravenous pyelogram demonstrated a large mass in the adrenal region which pushed the kidney down and laterally but did not distort the calyces. The longitudinal scan on the right side showed a 7 X 9 cm adrenal mass whose echo border appeared to be distinct from the kidney, which was pushed inferiorly with its upper pole deviated laterally and posteriorly. This right adrenal tumor was confirmed at autopsy. The sonogram offers an easy initial diagnostic approach to a suspected adrenal lesion.