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Images in Thorax
Right subdiaphragmatic renal ectopia mimicking lung tumour
  1. Ichiro Hirayama1,
  2. Ryota Inokuchi1,
  3. Masataka Fukue2,
  4. Kent Doi1
  1. 1 Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Bunkyo-ku, Tokyo, Japan
  2. 2 Department of Surgery, Koga General Hospital, Koga, Ibaraki, Japan
  1. Correspondence to Dr Ryota Inokuchi, Emergency and Critical Care Medicine, The University of Tokyo Hospital, Bunkyo-ku 113-8655, Japan; intensivecareunits{at}gmail.com

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Case presentation

A 76-year-old Japanese man was transported to our emergency room in summer with a coma and fever. His Glasgow coma scale score was E4V2M4, and his body temperature was 37.8°C. As part of a clinical workup, a pulmonary examination was performed, which revealed reduced breath sounds in the right basal hemithorax. Chest radiography revealed a round lesion on the right inferior lobe (figure 1). Lung tumour or abscess was suspected, but blood examination revealed renal dysfunction; thus, …

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