The article presents the image presentation of the disease, chyluria secondary to lymphorenal fistula observed though cystoscopy and retrograde pyelogram in a 39-year-old female patient. The patient presented with a 2-month history of fatigue and malaise, and she is passing milky urine. Also, the patient's abdominal computed tomography showed dilated retroperitoneal lymph nodes and dilated lymphatic vessels in the left paraaortic region.