Case 05.20:
Questions:
1) What is shown on the CT scan image in Figure 1A?
Dual energy CT Scan shows medullary nephrocalcinosis and calyceal calcification (calyceal tip stones).
2) What is shown on the TC-99 sestamibe thyroid image in Figure 1B?
Increased Tc-99 sestamibi uptake is seen in the left posterior thyroid lobe consistent with a parathyroid adenoma.
3) What is the diagnosis?
Medullary nephrocalcinosis and calyceal calcification due to hypercalcemia and hypercalciuria from hyperparathyroidism due to a parathyroid adenoma.
See published case https://kidney360.asnjournals.org/content/1/3/223
Case 06.20:
Questions:
1) What is shown in images Figure 1A and Figure 1B?
Lipoid material is noted in the CRRT filter (Figure 1A) and in the CRRT de-aeration chamber (Figure 1B).
2) What is the diagnosis?
This finding is consistent with propofol infusion syndrome complicated by severe hypertriglyceridemia, which has caused CRRT filter clotting.
See published case https://kidney360.asnjournals.org/content/1/3/225