PurposeTo evaluate the advantages and limits of different diagnostic imaging modalities for adrenal neuroblastoma diagnosis in children. MethodsImaging manifestations of 26 pathologically proved cases of adrenal neuroblastoma were retrospectively reviewed. Results37.5% of the cases were revealed by IVP, 82% were found by US, while 90% of the cases were demonstrated by CT. ConclusionUS should be considered as the first choice for diagnosing the adrenal neuroblastoma, while CT seems superior to US.