We report the imaging findings of sclerosing lipogranuloma. Sclerosing lipogranuloma is a peculiar granulomatous fatty tissue reaction. The majority of the cases occur in the genital and urinary tracts. To our knowledge, the CT and MR images of this rare entity have not been reported in the English literature. We present a case that was suspected to be sclerosing lipogranuloma of the male genitalia on CT and MR images and was diagnosed by open biopsy.