File:AAST grade IV kidney injury with CEUS follow-up (Radiopaedia 72353-82878 B 1).png

Summary:

• Radiopaedia case ID: 72353
• Image ID: 51752422
• Plane projection: Longitudinal
• Study description: 3 months later
• Study findings: CEUS revealed a 2 cm, wedge shaped avascular area in the mid-portion of the left kidney. Note the fine enhancing subcapsular streak and a few traversing vessels in keeping with ongoing parenchymal remodeling. Completely homogeneous appearance and diffusely uniform enhancement of the spleen can be seen.
• Modality: Ultrasound
• System: Paediatrics
• Findings: Left kidney: Large triangular avascular area can be noted in the anterior aspect of the midportion of the left kidney in keeping with laceration extending to the renal pelvis including major vascular injury. Spleen: The lower pole of the spleen shows heterogeneous appearance with hypodense areas in keeping within splenic rupture. Pelvic fluid: Large amount of pelvic and lower abdominal fluid is seen (density of 50-60 HU) in keeping with hemoperitoneum.
• Published: 21st Nov 2019
• Source: https://radiopaedia.org/cases/aast-grade-iv-kidney-injury-with-ceus-follow-up
• Author: Akos Jaray
• Permission: http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)