Impressive contrast CT images illustrating R renal infarction affecting half of the parenchyma, pt had flank pain & normal Cr, as it is usual in these cases. 10 yrs later, affected parenchyma is atrophied, Cr remains unchanged. #renalimaging #nephropic #nephronmass
Sometimes, performing safely a percutaneous biopsy of one of the lower poles of the kidneys is just not feasible. Acquired renal cystic disease, new onset glomerular hematuria, nephrosis. #kidneyimaging #nephropic #nephroPOCUS #renalultrasound #InterventionalNephrology
Serum uric 14 mg/dL, WBC 44k, #AKI. #UrinarySediment inspected with bright field illumination under polarized lights revealed abundant uric acid crystals. Tumor lysis syndrome suspected. #PisseProphet #crystalluria @OchsnerNephro #nephropic
Kidney ultrasound of a pt with #COVAN. Hyperechogenicity brings back HIVAN memories. Images speak for themselves. #renalultrasound #kidneyimaging #nephropic #nephroPOCUS @OchsnerNephro #COVID19 @lglomcon
Long convoluted waxy cast in the #UrinarySediment of a pt with glomerular disease and 40% IFTA (L: bright field, R: dark field; SM-stained). #PisseProphet #NephroArt #nephropic #UrineMicroscopy
Often overlooked abnormality in #renalultrasound: effacement or the renal sinus (right) denoting “swollen” renal parenchyma (could be ATN, AIN, GN); normal brightness and thickness in left image. #renalimaging #nephropic #kidneyultrasonography #nephroPOCUS @OchsnerNephro
“Cathedral stained glass” appearance of uric acid crystals under polarized light in #UrinarySediment of #AKI case due to ATN, urine pH 5.0, serum uric acid 11.9 #PisseProphet #MedEd @OchsnerNephro #nephrocentric #nephropic
Two kidneys of different color? complete occlusion of the right renal artery with no uptake of IV contrast, image by CT scanning #nephropic #renalimaging #kidneyimaging #MedEd @OchsnerNephro @OchsnerRads
When you read “kidney with bumpy contour” in a sonogram report, this is what it means. Sometimes it’s just persistent fetal lobulation, but it often denotes scarring. #renalimaging #nephropic #nephroPOCUS #kidneyimaging #renalultrasound #MedEd @OchsnerNephro
Nice example of a hyperechogenic kidney. Biopsy showed C3-GN with only 5% IFTA & zero obsolescent gloms; “echogenic kidneys” in isolation is never a contraindication for kidney biopsy. #renalimaging #NephPOCUS #renalultrasound #kidneyimaging #nephropic @OchsnerNephro
ESKD pt on CCPD. Not specific but very sensitive for CUA: calcified blood vessel by X-ray. Recently discussed in #NephJC
https://itunes.apple.com/app/id568780324 #calciphylaxis #ESRD #nephropic #renalimaging #bedsiderounds #MedEd
Good example of chronic residual moderate-to-severe hydronephrosis in a pt with #CKD and remote UPJ stricture. Now evolving proteinuria, 2ry #FSGS from VUR is being considered. #kidneyimaging #renalultrasound #nephropic @NephroP #POCUS
Acquired perforating dermatitis aka Kyrle disease. #CKD stage 4, scheduled for UV light Rx. Posted with permission. #physicalexamination #lookatyourpatient #nephrology #dermatology #pisseprophet #nephropic
Great example of a #kidney w/advanced #CKD: small size, bumpy contour, thinned parenchyma and multiple acquired simple #cysts likely dx ischemic #nephropathy #kidneyimaging #renalimaging #renalultrasound #renalultrasonography #nephropic #badlookingbeans
Horseshoe #kidney with unilateral hydronephrosis due to ureteropelvic junction obstr. #renalimaging #nephropic #kidneyimaging #coolcase #nephrourology
