We present two infants with ureteropelvic junction obstruction with ve
ry large renal pelves, which extended to the level of the urinary blad
der. In both cases, the distal aspect of the renal pelvis simulated a
dilated distal ureter, leading to the incorrect sonographic diagnosis
of ureterovesical junction obstruction. Awareness of this potential pi
tfall on sonography is important when imaging infants with prenatal di
agnosis of hydronephrosis.