Lying down adrenal sign

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

G1P0 morphology scan.

Patient Data

Age: about 24 years
Gender: Female
ultrasound

Right kidney - normal position, size, shape, echopattern. No hydronephrosis.

Normal right adrenal gland seen curving around upper pole of right kidney.

Left kidney - Not localised. 

"Lying-down" (flat) adrenal gland on the left side.

Case Discussion

The lying adrenal sign is a feature seen usually associated with renal agenesis or sometimes with renal ectopia.

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