Sometimes during embryonic development, the kidneys can fuse together to form a “horseshoe” appearance on imaging. This is a rare condition, with one estimate of 0.25% of the population having horseshoe kidneys. Most people with horseshoe kidneys do not have symptoms, but may have a higher risk of kidney stones, urinary tract infections (UTIs), hydronephrosis (swelling of a kidney due to a build-up of urine), and a type of kidney cancer called “Wilms tumor” (this most commonly presents during childhood).