Presentation
End stage renal disease.
Patient Data
The spleen is enlarged and its cephalocaudal height measured 170mm.
Both kidneys are small with atrophic parenchymal changes. A few subcentimeter simple cortical cysts are seen at kidneys.
Transplanted kidney with relatively atrophic parenchyma and a few small simple cortical cysts are seen at right iliac fossa. Mild hydronephrosis is present without obvious stone or mass.
Diffuse but mild urinary bladder wall thickening is present.
Mild degenerative changes as osteophytosis are seen at the lumbar spine.
There are also prominent endplate densities at multiple contiguous vertebral levels.
Case Discussion
Features are most consistent with rugger jersey spine in a patient with end stage renal disese.