Duplex collecting system - drooping lily sign

Case contributed by Frank Gaillard
Diagnosis certain

Patient Data

Age: Adult

Intravenous pyelogram

Fluoroscopy

Right sided duplicated collecting system. The upper moiety is obstructed, and non-functioning. It displaces the lower pole moiety inferiorly, mimicking the appearance of a drooping lily. 

Case Discussion

Case courtesy of Dr Wael Nemattallah. 

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