“…2 of them had calculous disease [4,26]. In 1 case a renal cell carcinoma of the ipsilateral kidney was responsible [14], and in 2 patients no cause of hematuria could be found [6,27], X-ray examination usually revealed renal displacement because of the su prarenal radiolucent mass indicating the presence of fat. Calcifications within the mass and even in the contralat eral adrenal area were reported [6,22,24,25,27], On sonography the tumors appeared to be solid, and the high echodensity is characteristic and suggestive for lipomatous tissue [6,17], Sometimes it seemed to be difficult to differentiate the mass from adjacent retroperitoneal fat because of its acoustic similarity, or the mass could not be localized definitely as intrarenal or extrarenal [6].…”