Congenital intrathoracic kidney
Presented with symptoms of chest infection.
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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)]
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.