Renal vein thrombosis is a relatively uncommon disease that is being recognized with increasing frequency owing to both modern angiographic techniques and noninvasive modalities such as magnetic resonance imaging and renal images. It is important to emphasize the various imaging manifestations of renal vein thrombosis, especially if a renal image precedes more invasive testing. The findings of a Tc-99m DTPA renal image with correlative images in a patient with documented renal vein thrombosis are discussed.