“…Bilateral symmetrical perirenal involvement is typically seen in pathologic conditions like perirenal lymphoma, perinephric collections, hematoma, urinoma, abscesses, bilateral perirenal lymphangiomatosis, bilateral nephroblastomatosis perirenal extramedullary hematopoiesis, bilateral retroperitoneal tumors, and fibrosis [1]. These conditions can be renal, subcapsular, or perirenal in origin and often indistinguishable with respect to the same.…”