Renal lymphangiectasia

Discussion:

Patient has typical features of lympangiectasia with development of chronic subcapsular not perinephric lymphatic fluid collections - producing Page kidney like appearances (i.e poor parenchymal enhancement and high renin hypertension due to relative ischemia).  In this case lymphatic swelling has caused the left upper ureter to obstruct leading to a presentation of "renal colic".

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