Renal angiomyolipoma (AML) rarely presents with evidence of extension into the renal vein. inferior vena cava (IVC) or atrium. We report a case of a renal AML with a tumor thrombus to the IVC in a 32-year-old male. The patient subsequently underwent a right radical nephrectomy with IVC tumor thrombectomy. https://trendingcustomes.shop/product-category/ds-glass-ornament/