Mielolipomas adrenales bilaterales como hallazgo incidental

myelolipomas are rare, non-functioning, benign tumors composed of mature fat tissue and myeloid hematopoietic precursors that involve mainly the adrenal glands and rarely other extra-adrenal tissues. the clinical features are heterogeneous and there are reports of giant and bilateral myelolipomas. few tumors have been associated with endocrine dysfunction or retroperitoneal bleeding. with the development and wide-spread use of modern imaging techniques, this adrenal entity is sometimes found incidentally during radiology procedures for other reasons. we describe an unusual clinical presentation of asymptomatic bilateral myelolipomas incidentally discovered in abdominal x-rays.