Bilateral Pelvic Kidney Masquerading as Horseshoe Kidney in Fanconi Anemia

^99mTc-DMSA planar scan in anterior, posterior, right, and left lateral views (A, B, E, and F) revealed low-lying kidneys bilaterally in paramedian location, with the 2 kidneys apparently fused at midline. On transaxial and coronal SPECT/CT, kidneys were clearly separate from each other both on low-dose CT component (C and G, arrows) and on fused images (D and H, arrows).