Sarcoidosis has a wide variety of radiologic manifestations. However, lesions that mimic tumors are rare presentations of this systemic disorder. Differentiating sarcoid granulomas from malignancy is critical, as management and prognosis for these two entities are drastically different. Therefore, it is imperative to be cognizant of the various radiologic appearances of pseudotumoral renal sarcoid. We report a case of a 61-year-old man with recently diagnosed prostate cancer and pulmonary sarcoidosis discovered on staging CT who presented with pseudotumoral renal sarcoid mimicking malignancy.