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Clinical Features:

A 2-month-old male child was brought with a history of antenatal bilateral mild urinary tract dilatation.


Ultrasound Features:

- Right kidney is normal.

- Left kidney shows gross pelvicalyceal system dilatation forming an 'Elephant Footprint' appearance with thinning of the parenchyma

-No dilated left ureter is not visualized beyond the renal pelvis.


Ultrasound Diagnosis:

Left-sided gross hydronephrosis (Grade IV) due to PUJ obstruction


Ultrasound Images:



Normal right kidney


Normal right kidney in a magnified image


Left kidney shows gross pelvicalyceal system dilatation forming an 'Elephant Footprint' appearance with thinning of the parenchyma


Left renal antero-posterior renal pelvis diameter (AP RPD): 20 mm


Left kidney shows gross pelvicalyceal system dilatation forming an 'Elephant Footprint' appearance with thinning of the parenchyma


Normal partially filled urinary bladder





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