Pheochromocytomas are catecholamine-releasing tumors that can be found in an extraadrenal location in 10% of the cases. Almost half of all pheochromocytomas are now discovered incidentally during cross-sectional imaging for unrelated causes. We present a case of a paragaglioma of the organ of Zuckerkandl that was discovered incidentally during a magnetic resonance angiogram performed for intermittent claudication. Subsequent investigation with computed tompgraphy and I-123 metaiodobenzylguanine scintigraphy as well as an overview of the literature are also presented.