This is an interesting case of a middle-aged shopkeeper presented with a recurrent panic attack. Clinically, he was normotensive without evidence of any HTN-related target organ damage. However, the panic attacks were very much suggestive of typical “Pheo spell” having a high positive predictive value for pheochromocytoma. Though his urinary catecholamine was minimally elevated, the imaging phenotype highly favored this diagnosis. Initially, operation was denied by the surgeons doubting a normotensive Pheo; later on, he was operated based on the concerning imaging characters. The diagnosis was confirmed by sudden hypertensive emergency during the procedure that was promptly relieved following the removal of the tumor having typical macroscopic as well as microscopic appearance of pheochromocytoma.