Introduction: Chronic obstructive pulmonary disease (COPD) is a major and increasing global health problem with enormous amount of expenditure of direct/indirect health-care costs [1]. Quality of life (QOL) is an important domain for measuring the impact of chronic disease. The importance of measurement of quality of life (QOL) in COPD subjects is because no single measurement of lung function can satisfactorily identify the various disturbances that may cause S220 ABSTRACTS

Intrathoracic kidney is a very rare finding, representing less than 5% of all renal ectopias. Because of the location of the liver, thoracic kidney on the right side is much less common than thoracic kidney on the left side. Although an increasing number of case reports are being published in the literature, few describe the impact of the ectopia on kidney function. We report the case of a woman with intrathoracic right kidney and chronic kidney disease that was initially misdiagnosed as pneumonia because of its presentation on chest x-ray. We highlight the need to including this condition in the differential diagnosis[2] as the literature rarely links it to changes in kidney function.