Abdominal ultra-sonography in a 3 year old boy show a solid circumscribed hypoechnoic renal mass. Most likely diagnosis is -
High-Yield Explanation
Amongst the given options only Wilms tumor is common at 3 years of age :-
Wilm's tumor → young children (mean 3 years)
Mesoblastic nephroma → < 1 year
Renal cell carcinoma → > 40 years
Oncocytoma → 25-95 years (mean 65)