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Pelvi-calyceal system consists of renal pelvis along with major and minor calyces.1,2 On coronal section, the kidney has an outer cortex and an inner medulla. The cortex extends centrally as the columns and separate the medulla into pyramids. The apical portion of the pyramids Comparative study of Pelvi-calyceal system and relationship of structures at hilum of kidney between Nepalese and North Americans