Multiple foci of increased accumulation of Ga-67 citrate in a horseshoe kidney. Differentiation of infection from nephroblastomatosis.

In the proper clinical setting, Ga-67 citrate appears to be a highly valuable radionuclide which may be used to differentiate an infectious process in the kidney from nephroblastomatosis. The authors present the case of a 7-year-old boy with multiple well-circumscribed foci of intense Ga-67 citrate accumulation in a horseshoe kidney. After a 2-week course of antibiotic therapy, the kidney showed significant improvement.