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Neonatal adrenal mass with jaundice

A neonate presenting with lumbar mass, late jaundice, and pallor, investigated on, shows echogenic mass in the right suprarenal position. Contrast-enhanced computed tomography scan revealed a cystic lesion without any enhancement, suggesting adrenal hemorrhage. Neonate was managed conservatively with serial hemoglobin and bilirubin levels. We present this case in view of rare presentation with mass, pallor, and direct hyperbilirubinemia.