The Editor,
Sir,
A previously healthy five-year old boy was evaluated for intermittent abdominal pain lasting for six months. Physical examination was normal but abdominal ultrasonography revealed a 3.5 × 4 cm lobulated cystic mass located in the right adrenal region. Laboratory results were all normal except for slightly elevated serum neuron-specific enolase [NSE] (31.2 μg/L). Magnetic resonance imaging evaluation reported the mass could be a simple adrenal cyst or cystic lymphangioma (CL).