Renal cortical necrosis

Case contributed by Charlie Chia-Tsong Hsu
Diagnosis almost certain

Presentation

Streptococcus pneumoniae septic shock and disseminated intravascular coagulation.

Patient Data

Age: 35 years
Gender: Female

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

ct

Reversal of normal corticomedullary differentiation with hyperattenuating renal medulla and hypoattenuating renal cortex (reverse rim sign) compatible with renal cortical necrosis. Background of bilateral lower lobe consolidation, anasarca and ascites.

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