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The sensitivity and specificity of CT angiography were 100%, each. Renal vein renin sampling did not aid in the diagnosis of RVH; only 2 of 6 patients with unilateral RVH showed significant laterality of renal vein renin boundary ratios. Renal scintigraphy facilitated detection of a nonfunctional kidney (split renal function less then 5%). CONCLUSIONS RVH in children could be diagnosed utilizing noninvasive blood and imaging tests without catheter angiography. We recommend kidney size measurement along with measureme