Faces of RnD Cases

 

Vicarious Excretion and Renal Failure

CT scan shows bilateral small irregular kidneys with with an area of linear retained contrast in the right kidney and vicarious excretion of contrast in the gallbladder .  These finding are consistent with chronic renal failure
Ashley Davidoff MD TheCommonVein.net

Acquired Cystic Disease of Chronic Renal Failure

Acquired Cystic Disease of Chronic Renal Failure
67 year old male with chronic renal failure. Reconstruction of a CT in the coronal plane shows bilateral diffuse small cysts consistent with the diagnosis of acquired cystic disease of chronic renal failure. Although the craniocaudal span is only mildly reduces there is significant parenchymal thinning and renal sinus lipomatosis. Noted ascites from peritoneal dialysis
Ashley Davidoff MD TheCommonVein.net
Spontaneous Subcapsular Hemorrhage
Patient has acquired cystic disease of chronic failure and presents wit spontaneous subcapsular hemorrhage of the left kidney. A hemorrhage from a malignancy known to occur as a complication of this entity was suspected. At the inferior aspect of the hemorrhage there is extension of the process into the retroperitoneum giving the appearance of the “spider web sign” or “cobweb sign”
Ashley Davidoff MD TheCommonVein.net RnD
Spontaneous Subcapsular Hemorrhage
Patient has acquired cystic disease of chronic failure and presents wit spontaneous subcapsular hemorrhage of the left kidney. A hemorrhage from a malignancy known to occur as a complication of this entity was suspected. At the inferior aspect of the hemorrhage there is extension of the process into the retroperitoneum giving the appearance of the “spider web sign” or “cobweb sign”
Ashley Davidoff MD TheCommonVein.net RnD

Small Smooth Kidney

Small (7.5cms ) Kidney on Ultrasound with Renal Sinus Lipomatosis and Thinned Cortex
Ashley Davidoff MD The CommoVein.net

Unilateral Small Smooth Kidney

Unilateral small smooth left kidney with compensatory enlargement of the right kidney
Ashley Davidoff TheCommonVein.net

Unilateral Small Kidney

Unilateral small smooth left kidney with compensatory enlargement of the right kidney  The left kidney measures 5.3cms and the right kidney measures 12.5cms
Ashley Davidoff TheCommonVein.net

Bilateral Small Irregular Kidneys

CT scan shows bilateral small irregular kidneys with significant renal sinus lipomatosis. 
Ashley Davidoff MD TheCommonVein.net

Prone Image

Renal Abscess

Normal Sized Kidney but End Stage with Thin Cortex Renal Sinus Lipomatosis 

CCyst” That Significant Peripheral Enhancement = Abscess

Interstitial Nephritis