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Both renal lower poles are seen pointing medially and seen fused across the midline by an isthmus of functioning renal tissue.
The ureters arise from the kidneys anterior rather than medially. Both have average caliber and normal distal insertion.
No stones or back pressure changes are seen.
A right sided adnexal cyst is seen. It measures about 7.5x6 cm in its maximum axial diameter. It showed thin imperceptible wall with no solid components or calcific foci seen.