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A 70-year-old presents with flank pain 4 days after a renal biopsy for investigation of a renal mass. He has a previous history of bioprosthetic aortic valve and is on warfarin and aspirin.

On examination he is haemodynamically stable with a tense abdomen and right flank pain.

His haemoglobin on arrival is 120g/l (from a baseline of 150).

A CT scan of the abdomen is performed


Describe and interpret the CT images
Clinical Pearls

References

TOP 100 CT SERIES


Dr Leon Lam LITFL Author 2

Dr Leon Lam FRANZCR MBBS BSci(Med). Clinical Radiologist and Senior Staff Specialist at Liverpool Hospital, Sydney

Dr Jenni Davidson LITFL Author

Sydney-based Emergency Physician (MBBS, FACEM) working at Liverpool Hospital. Passionate about education, trainees and travel. Special interests include radiology, orthopaedics and trauma. Creator of the Sydney Emergency XRay interpretation day (SEXI).

Dr Parvathy suresh kochath LITFL Author

Provisional fellow in emergency radiology, Liverpool hospital, Sydney. Other areas of interest include paediatric and cardiac imaging.

Dr Georgina Beech LITFL Author

Emergency Medicine Education Fellow at Liverpool Hospital NSW. MBBS (Hons) Monash University. Interests in indigenous health and medical education. When not in the emergency department, can most likely be found running up some mountain training for the next ultramarathon.

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