Bilateral delayed nephrogram from renal artery stenosis
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Difficult to control hypertension.
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High-grade bilateral renal artery stenoses with delayed nephrograms, more so on the right. Extensive atherosclerosis. Calcified liver lesion most likely represents a chronic hydatid cyst.
Atherosclerosis, as seen in this case, is the most common cause of renal artery stenosis, which can lead to secondary hypertension.