Horseshoe kidney with autosomal dominant polycystic kidney disease
Abdominal pain and mass feeling.
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The lower poles of both kidneys are seen pointing medially and seen fused across the midline by an isthmus of renal tissue, with anteriorly mal-rotated hila denoting horseshoe kidney. Multiple cysts are present at both kidneys. The largest one on right and left sides measured 64mm and 61mm respectively. A 5mm stone is observed at lower calyces of the right kidney. Mild hydronephrosis is evident at right side.