Pleural metastasis caused by renal tumor may be rarely seen. Hypoxic respiratory failure was detected in a 49 years old man suffering from breath-lessness. In thorax computed tomography, there were diffuse pleural masses and pleural effusion on the right hemithorax and pleural masses on the left hemithorax. In abdominal ultrasonography, a mass lesion with a dimension of 8x7 cm, reported as a renal tumor. Tissue biopsy of right pleural mass using trucat needle revealed renal cell carcinoma metastasis. Closed tube drainage and talc pleurodesis on the right hemithorax was done.It was decided to follow the patient with symptomatic treatment because of the stage-4 disease and poor patient performance. The patient was dead at the third month of follow. The patient, dead because of the metastatic pleural masses of primary renal tumor and respiratory failure, was presented.