We report a pheochromocytoma with negative SSTR2 expression and low uptake on <sup>68</sup>Ga-DOTATATE, whose detection was masked by the uptake of normal adrenal tissue.<h4>Case report</h4>A 50-year-old man presented with a right adrenal incidentaloma. This evidence concerns the gene SSTR2 and hereditary pheochromocytoma-paraganglioma.