“…These lesions have been found in the liver, lung, mediastinum, mesentery, stomach, spleen, pelvis, and most commonly the retroperitoneal presacral region [4, 5]. Our review of the literature demonstrates there have been 45 reported cases of extra-adrenal myelolipomas, some with multiple lesions and locations including: 16 presacral, 9 retroperitoneal, 8 thoracic/mediastinal, 7 perirenal, 3 pelvic, 2 renal, 2 hepatic, 1 gastric, and 1 perivesicular [1, 6–23].…”