A 64-year-old man with a lesion of the pancreatic tail was referred for 68Ga-DOTATATE PET/CT imaging. His medical history included previous metastatic clear cell renal cell cancer. 68Ga-DOTATATE PET/CT demonstrated increased DOTATATE uptake (SUVmax 10.5) in a pancreatic tail lesion. Histopathology of the resected lesion confirmed clear renal cell cancer metastasis. This case illustrates that clear cell renal cancer metastasis can demonstrate 68Ga-DOTATATE accumulation.