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IVP shows a characteristic appearance of HSK in a 48-year-old man who presented with abdominal pain. The two kidneys lie vertically on either side of the midline, and are joined at their lower poles by an opacified parenchymal isthmus (arrows). The right renal pelvis is directed laterally and the left renal pelvis is directed anteriorly. Bilateral hydronephrosis is also seen.
