Acute tubular necrosis

Case contributed by Dr Morlie L Wang

Presentation

Coronary angiogram 9 hours earlier

Patient Data

Age: 55 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

CT

The kidneys have a mottled appearance containing multiple areas of high density striations.

Case Discussion

Bilateral 'striated nephrogram'  was the salient finding.

Differential diagnosis:

Final diagnosis: Acute tubular necrosis. Striated nephrogram, in this case, depicts contrast material trapped in necrosed tubules.

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