Abstract A 42yrs female presented with a large suprarenal mass with hypertension and diabetes mellitus. Dexamethasone suppression test was positive suggestive of Hypercortisolism/Cushing’s syndrome. Right adrenalectomy was done. Histopathology revealed Adrenal myelolipoma with osseous metaplasia.It is a are presentation reported For the first time with hypercortisolism.