Infant with a urinary tract infection

US and VCUG of ectopic ureterocele
Sagittal US of the right kidney (above left) was unremarkable. Sagittal US of the left kidney (above right) shows a duplicated kidney with hydronephrosis of the upper pole. Sagittal US of the bladder (below left) shows a round thick walled lesion at the base of the bladder. AP image from a voiding cystourethrogram exam (below right) shows a round filling defect on the left side of the bladder.

The diagnosis was left duplicated kidney with a left ectopic ureterocele causing hydronephrosis of the upper pole.