Multilocular cystic renal cell carcinoma recently has been excluded from clear cell renal cell carcinoma (ccRCC) category and re-designated as multilocular cystic renal neoplasm of low malignant potential (MCRNLMP) and represents an extremely rare renal entity comprising <2% of all renal carcinoma and bears a low malignant potential which benefits either with simple nephrectomy or nephron sparing surgery. The pathologists need to be more cautious in diagnosing this rare entity as it mimics other diseases having reasonable prognosis. We herein report a case of MCRNLMP in an elderly patients with non-specific symptoms of 6 months duration, having a renal mass in the lower pole of the left kidney seen on computerized tomography. The final diagnosis of MCRNLMP was rendered after thorough histological and immune-histochemical evaluation. The patient was discharged after uneventful post-op duration and put up on regular follow up.