A 72-year-old patient was admitted for exploration of an opacity of the lef
t base discovered fortuitously on a routine chest x-ray. initial blood test
s were normal. Fiberoptic bronchoscopy was normal. Computed tomography (CT)
led to the diagnosis of a left kidney which had risen into a retro-cardiac
position. Magnetic resonance imaging established the sub-diaphragmatic pos
ition of the kidney. Renal excretion was normal on intravenous urography.
An ectopic kidney in art intrathoracic position very, uncommon and may, rai
se a major challenge when visualized as a mediastinal or pulmonary, opacity
. Computed tomography or intravenous urography can provide the diagnosis an
d magnetic resonance imaging demonstrates its precise sub-diaphragmatic or
supra-diaphragmatic position.