Adrenal pseudocysts are rare adrenal lesions with reported typical and atypical imaging appearance. We report two adult cases and both of them have atypical appearance. Especially in our first case, the huge low attenuation mass has a non-enhanced irregular thick wall, calcified spots and multiple enhancing mural nodules, and occupies the space between liver and right kidney. Lipiodol embolization and surgical resection are performed in two medical centers respectively under the imaging diagnosis of hepatoma. The unusual presentations deserve our careful discussion.