Infant with prenatal hydronephrosis

US and MAG3 scan of horseshoe kidney
Transverse midline US of the lower abdomen (above) shows renal parenchymal tissue in the midline just anterior to the spine representing the fused lower poles of both kidneys. MAG3 scan (below) shows radiotracer uptake in the bilateral kidneys as well as in their fused lower poles.

The diagnosis was horseshoe kidney.