1 / 7

Slide 1

jed
Download Presentation

Slide 1

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. HISTORY: 60 year-old female with bilateral flank pain off and on for two months with associated fevers, chills, nausea, and vomiting. She denies gross hematuria. There is laboratory evidence of a urinary tract infection. She has a history of renal stones with several interventions, the last approximately 10 years ago. The kidney stones were calcium oxalate and struvite stones. Slide 1

  2. Describe the findings on the scout film and noncontrast CT (hover the cursor over CT to scroll). Slide 2

  3. Scout Image – Bilateral calcific densities overlying the renal shadows Axial Non-contrast CT: - Right kidney: Enlarged, thinning of renal cortex, multiple large communicating cystic structures (measuring water density) consistent with chronic obstruction, many with calcific stones and fragments up to 4 cm, mild hydroureter, distal ureteral stone - Left kidney: single cystic structure, nonobstructing stones, no hydronephrosis or hydroureter -Multiple surgical clips Slide 3

  4. Slide 4

  5. Slide 5

  6. Slide 6

  7. The diuretic renal scan requested to evaluate function and for obstruction. What information has been incorrectly provided and why? 3) What is the likely diagnosis? Slide 7

More Related