Congenital intrathoracic kidney

Case contributed by A M Obaideen
Diagnosis almost certain

Presentation

Symptoms of chest infection.

Patient Data

Age: 6 months
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Chest

x-ray

Homogenous well-defined right lower thoracic paracardiac opacity.

ultrasound

The right kidney is located above the right diaphragm with good vascularization, no hydronephrosis.

[Poor quality images (done in 1995)]

Case Discussion

Intrathoracic kidney is a rare congenital anomaly, but it should be included in the differential diagnosis of the well-defined lower thoracic opacity, the diagnosis can be easily confirmed by ultrasound in most cases as we can use the acoustic window of the liver or spleen to demonstrate it above the diaphragm.

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