An incidental finding was noted while performing an abdominal ultrasound for abnormal LFTs.
There are multiple, bright echogenic masses adjacent to or arising from the left kidney. Color doppler shows blood flow within these. The right kidney was normal.
Angiomyolipomata are bright, echogenic masses and are the commonest tumour of the kidney. Other tumours can also appear hyperechoic, so the diagnosis should be confirmed with other imaging.
Multiple angiomyolipomata raises the possibility of tuberous sclerosis, but there was no history or other features in this patient.
In this lady, a CT scan of the abdomen had been performed 1 year prior for diverticulitis. Review of this confirmed the diagnosis.