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Benign neoplasms of smooth muscle of the kidney are a rare neoplasm. A 55 year old female presented with the history of abdominal discomfort. Ultrasonographic findings showed a large hypoechoic area in the right kidney measuring 21 x 28 mm, rest of the scan was within normal limits. Contrast enhanced CT scan of the abdomen showed a large enhancing mass lesion in the pelvis of the right kidney, suggestive of leiomyoma.
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