Cavernous hemangiomas of the adrenal gland are rare in clinical practice. Recently some cases have come to clinical attention as incidental findings on sonography, computed tomography (CT), or magnetic resonance imaging (MRI). With many reports regarding its CT or MRI manifestation, sonographic features of this entity have seldom been delineated. We report the case of a patient with a huge nonfunctioning cavernous hemangioma of the adrenal gland and describe the imaging findings of the lesion.