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Fig. 1D. 37-year-old man with decreasing renal function who was referred for sonography to exclude hydronephrosis. After immunosuppression was decreased in patient, mass became markedly smaller and renal function improved. Longitudinal spectral Doppler sonogram of renal transplant shows main renal artery (MRA) with peak systolic velocity of 3.10 m/sec. This threefold increase in peak systolic velocity correlates with stenosis in our sonography laboratory.