Friday, August 29, 2014

This is a CT scan with contrast in a patient who presented with pain in the back & left loin and was found to have microscopic haematuria on routine urine testing. What does the CT show?

There is good contrast uptake in the right kidney. In the left kidney, uptake is poor and the aorta has a double lumen. These are the appearances of acute aortic dissection with relative ischaemia of the left kidney.



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