The #1 Site for Learning Radiology on the Web*
Cardiac
GI
Bone
GU
Neuro
Peds
Faculty
Student
Quizzes
Image DDX
Mobile
  Misc
Videocasts

 

 

Case of the Week 354




What's the most likely diagnosis?

  • 43 year-old with vague abdominal pain



Contrast-enhanced axial CT image in mid-abdomen

  1. Aortic aneurysm
  2. Horseshoe kidney
  3. Retrocaval ureter
  4. Shock bowel
  5. Hepatocellular carcinoma

Additional Image - CT scan of mid-abdomen

 

Additional Image

.

.

Contrast-enhanced axial CT image in mid-abdomen

.


Answer:

.


2. Horseshoe Kidney

.

.

More (Click Discussion Tab)


Horseshoe Kidney

General Considerations

  • Most common fusion abnormality of the kidney
  • Fusion is at lower pole in 90% of cases
  • The majority of each kidney lies on its own side of the spine
    • In crossed fused ectopia, both fused kidneys lie on the same side of the spine
  • May occur as isolated anomaly or with other anomalies (1/3), such as
    • Reflux, hypospadias, retrocaval ureter, imperforate anus, Meckel diverticulum

    More ...


    .

    This Week
    43 year-old with vague abdominal pain
     
    Part 2 of a two-part video podcast that reviews dislocations of the foot. This podcast contains an extended mini-quiz that covers Podcasts 34 and 35 on Foot Trauma
     
    A trim mobile version for your PDA or internet-enabled smartphone with handy lists of differential diagnoses, most commons and more
     
    Key points on recognizing the most common fractures and dislocations
     
    Basic CT imaging of the brain focusing on the findings of cerebrovascular accidents
     
    The top diagnostic imaging diagnoses that all medical students should recognize according to the Alliance of Medical Student Educators in Radiology
     
    Recognizing normal and  key abnormal intestinal gas patterns, free air and abdominal calcifications
     
    Some of the fundamentals of interpreting chest images
    LearningRadiology.com
    is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.
     

    * Google