PMC107839_01
Lateral view of cervical spine shows congenital fusion of bodies of C2 with C3, and vertebral bodies of C4 with C5.
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F1
A recent X-ray of the cervical spine (Figure 1) and MRI of the cervical spinal cord (Figure 2) showed congenital fusion at two levels, thus confirming a diagnosis of Klippel-Feil syndrome - Type 2.
MRI of cervical spine shows continuity of the vertebral body of C2 and C3. There is fusion of the vertebral bodies of C4 and C5. Marked disc narrowing and spondylotic changes at C3-4 (level of Cloward procedure).
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F2
A recent X-ray of the cervical spine (Figure 1) and MRI of the cervical spinal cord (Figure 2) showed congenital fusion at two levels, thus confirming a diagnosis of Klippel-Feil syndrome - Type 2.
PMC107839_02
20-minute film of intravenous urography shows crossed, fused renal ectopia in the left ilio-lumbar region.
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F3
A routine intravenous urography (IVU) revealed no kidneys in the renal fossa on both sides, but the presence of crossed, fused renal ectopia in the left ilio-lumbar region. (Figures 3 and 4).
Coned view of kidney shows anteriorly rotated large extra-renal pelvis, which is occupying the centre and a further renal pelvis with normal configuration facing laterally.
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F4
A routine intravenous urography (IVU) revealed no kidneys in the renal fossa on both sides, but the presence of crossed, fused renal ectopia in the left ilio-lumbar region. (Figures 3 and 4).
Ultrasound examination of kidney shows two distinct renal sinus echo patterns thus confirming the presence of a crossed, fused renal ectopia.
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F5
Two separate renal sinus fat echoes could be identified sonographically in the ectopic fused kidney. (Figure 5).
MAG 3 renogram (images obtained in prone position) shows no kidney in the right side. There is functioning renal tissue in the left ilio-lumbar region.
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F6
MAG 3 renogram showed functioning, renal tissue in the left ilio-lumbar region. (Figure 6).