Chemical-shift Magnetic resonance (MR) imaging is gradually accepted as a useful technique to distinguish benign adrenal lesions from malignant counterparts based on in-phase and out-of-phase gradient-echo pulse sequences. We report a 30-year-old female with symptomatic adrenogenital syndromes due to a right adrenal adenoma. 5.5×3.0×2.5cm3 in size. The MR images showed no significant in-phase and out-of-phase difference, and the retroperitoneal laparoscopic adrenalectomy was employed. Microscopically, the benign tumor with histological variability was composed of compact cells without lipid, which may cause the non-shifting MR images.