Selected image from DSA demonstrated a high flow aneurysmal AVF at right renal hilum. The fistula (white arrow) measures 7.34 mm and connects an aneurysmally dilated anterior division of right renal artery (white arrowhead) with the superior venous varix (black arrowhead). The IVC (black arrow) was dilated and opacified early, with impaired renal parenchymal staining, indicating rapid high flow arteriovenous shunting