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matic malignant disease or of another clinically important condition by endo− scopic ultrasound (EUS) performed for another indication is unknown and is probably much higher than is generally recognized. Renal incidentalomas identi− fied at EUS, particularly of the right kid− ney, remain poorly characterized. A 57−year−old woman with a history of acute pancreatitis presented for further evaluation by EUS. Radial EUS revealed a normal gallbladder, bile duct, pancreatic parenchyma, and pancreatic duct, and there was no evidence of regional adeno− pathy. An incidental lesion on the apex of the right kidney and several small renal cysts were identified, however (l" Fig. 1, l" Video 1). A linear echo endoscope ex− amination confirmed the findings (l" Fig. 2), although fine−needle aspira− tion was not performed. These EUS find− ings were confirmed by a subsequent re− nal ultrasound examination, which re− vealed a 1.5−cm, echo−poor, solid−looking mass, also visualized on computed tomo− graphic urography (l" Fig. 3). The patient had no history of flank discomfort, hema− turia, urinary tract infection, or kidney stones. An open partial right nephrec− tomy was performed, when a well−cir− cumscribed, 2−cm lesion was enucleated without complications. Histologically, this was a grade 2 T1a clear cell renal cell carcinoma, without evidence of tumor necrosis. The widespread use of advanced imaging techniques has led to increased identifi− cation of incidental renal cell carcinomas. Solid renal masses are present in 0.32 % of the population [1]. The pre−test probabil− ity of finding clinically relevant extracolo− nic disease in average−risk, asymptomatic adults at computed tomographic colo− noscopy is reported to be 4%± 86% [2]. EUS−guided fine−needle aspiration diag− A clinically significant right renal mass identified as an incidental finding on endoscopic ultrasound examination