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RADIOLOGY: KIDNEY: Case# 33004: RENAL INFARCTS. The patient is a 61 year old black female with a history of metallic mitral valve placement and low INR.The patient has a history of 2 to 3 days of nausea and vomiting with a high white blood cell count. 1) Bilateral renal infarcts acute appearing.2) Geometric low attenuation region within the posterior segment of the right hepatic lobe -perfusional vs fat infiltration. 3) Enlarged common bile duct at last 1.1 cm in diameter without a definite mass seen surrounding the duct or within the pancreas. Recommend clinical correlation with liver function tests. An ERCP may be useful for further evaluation. 4) Patchy basal airspace change.

Peter Anderson
kidney, radiology