Extrarenal varicosites of the renal vein are relatively common and are usua
lly easily detectable on computerized tomography (CT) or magnetic resonance
imaging (MRI). However, intrarenal components of these varices appear less
frequently and may be a source of diagnostic uncertainty, especially when
associated with calcifications. We report a case of an intraparenchymal ren
al mass, which when imaged in several modalities, was found to be the intra
renal portion of a renal vein varix in association with a circum-aortic lef
t renal vein.