To the question of normal adrenal gland imaging, as it's often done in some medical centers, measured the soft tissue above the upper pole of the kidney and everyone is happy. In this case, the adrenal lesion is localized in the projection of the lower renal pole because adrenal gland, in practice, are not always localized in the projection of the upper pole of kidney, and usually not visualized on ultrasound. While taking into account the localization in this case could be suspected nephroblastoma (Wilms' tumor) but as I spoke before the case was verified. external link "Wilms Tumor Imaging ... Abdominal neuroblastomas usually develop in the retroperitoneum. Most arise from the adrenal gland and displace the kidney inferomedially. In rare cases, a neuroblastoma may mimic a Wilms tumor, arising from tissues in the kidney or invading the kidney. To make diagnosis complicated, rare neuroblastomas possess other features more typical of Wilms tumor than of intrarenal neuroblastomas." As in the present case, the tumor site is not a typical arrangement of the adrenal gland, kidney does not displaced inferomedially but vice versa ... |