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A 28-year-old man presented with headache and weakness of the left extremities. He was found to have basal ganglia haemorrhage and hypertension. US abdomen (not shown) showed no kidney in the right renal fossa. MDCT was done for surgical planning. Coronal volume rendering MDCT image shows fused kidneys with two separate pelvocalyceal systems and ureters. The right ureter crosses midline to the left side and the right kidney fuses to the lower pole of the left kidney.
