Renal replacement lipomatosis of the kidney is characterized by renal
sinus and perirenal fat proliferation. It is associated with chronic
infection and calculi, commonly central, often obstructing. The kidney
may be large or small but is usually nonfunctioning. Most of the renal
parenchyma has been replaced by fat, pararenal fascia are thickened,
and there may be fistulae. We reported radiological findings of renal
replacement lipomatosis in a 55 year-old man