Imaging the other kidney in unilateral WT can sometimes be challenging especially with nephrogenic rests presenting as small WT. However, we have seen a case recently with wedge-shaped signal changes in the contralateral kidney without restricted diffusion and lack of tumoral enhancement. This makes possible perfusion defects as a likely cause of such appearance. It will be great to know if anyone has had a similar case and would love to collaborate to write up a case series for this unique presentation.