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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}

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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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  • Contributors IH and MF contributed to patient management. IH and RI drafted the initial manuscript. KD critically reviewed the manuscript. All author contributed to writing the manuscript. All the authors have provided written consent for publication.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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