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80-year-old female presents with four days of left flank pain and fever. She is febrile 39.5, HR 110, and hypotensive with SBP 90.

Blood results reveal an acute kidney injury with creatine 120 and lactate of 5

A Non-contrast CT scan of the abdomen is performed


Describe and interpret the CT images
Clinical Pearls

References

TOP 100 CT SERIES


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.

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.

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