Renal replacement lipomatosis (RRL) is a no touch lesion of the kidney that must be recognized at imaging in order to avoid inadvertent biopsy or surgery. The imaging features of RRL can sometimes be confused with a fat containing renal mass. Therefore the imaging characters of this entity need to be highlighted for accurate diagnosis. We present a typical case of RRL which was confused as a renal mass initially and was referred to our tertiary center for biopsy and further management.