Adrenal ganglioneuromas are rare tumors. Although benign in nature, radiographic features are non-diagnostic and can be suspicious for malignant tumors, necessitating surgical adrenalectomy for histopathologic diagnosis. Most are discovered incidentally, and are hormonally inactive. Workup to exclude functional tumors is warranted. We describe a case of a 58-year-old female patient with an adrenal ganglioneuroma masquerading as a suspicious adrenal incidentaloma on imaging.