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Medullary nephrocalcinosis

Case contributed by Salman S. Albakheet
Diagnosis almost certain

Presentation

Presented with abdominal pain and hematuria.

Patient Data

Age: 50 years
Gender: Female
x-ray

Bilateral amorphous, coarse calcifications throughout both kidneys which correspond the shape and position of the renal pyramids.

Annotated image

Annotated image ( both kidneys ) 

Case Discussion

The presence of calcifications with shape and position similar to renal pyramids suggests medullary nephrocalcinosis.

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