We report a patient with focal renal vein thrombosis that presented as
a hyperdense mass mimicking a hyperdense cyst or a pelvic or parenchy
mal tumor. The lesion was described as a well-defined round hyperdense
mass in the right renal sinus on noncontrast CT and was surgically pr
oven to be acute thrombosis of the renal vein. Renal vein thrombosis s
hould be considered in the differential diagnosis of a hyperdense in t
he renal sinus even if the patient has no underlying renal abnormality
.