This patient came to the out patient department with moderate colicky abdominal pain since last 2 months with a history of gradually increasing in size abdominal lump.
Pateint had an x ray abdomen with him (very poor quality) that showed displaced fundic gas shadow displace towards right side.
An USG abdomen was advised to the patient which showed huge cystic structure with anechoic fluid and few internal septae and non visualization of left kidney, differential of hydronephrosis was made and patient was advised CT abdomen.
And finally we got this!! A mammoth non-functioning kidney ;)