Multicystic dysplastic kidney

Case contributed by Hidayatullah Hamidi
Diagnosis almost certain

Presentation

Ultrasound reported left renal cysts/hydronephrosis.

Patient Data

Age: 1 year
Gender: Male

Left kidney is almost completely replaced by multiple varying sized cysts, without visible renal parenchyma. The left kidney totally measures 5.8 cm in cranio-caudal dimension.

No normal contrast enhancement or excretion is seen.

Right kidney is normal.

Case Discussion

The features are consistent with left multicystic dysplastic kidney (MCDK). Bilateral MCDK are incompatible with life. 

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