This image shows the pelvis of the left kidney filled with fungal balls. Eventually, after failing amphotericin B therapy, she required a nephrectomy. Her case is reported in Davies SP, Webb WJS, Patou G, Murray WK, Denning DW. Renal aspergilloma - a case illustrating the problems of medical therapy. Nephrol Dial Transplant 1987; 2: 568-572.