Abstract
A 39-year-old man who had a history of lithotripsy 10 months before was referred for assessment of renal function. Radionuclide renal scintigraphy revealed decreased perfusion, initial cortical uptake and cortical thinning, with a photogenic region in the upper moiety that gradually filled during the study. Progressive radiotracer accumulation in the upper moiety was seen in images up to 4 h, suggesting urinoma (a, b). In addition, a multislice spiral CT scan also showed a hydronephrotic left kidney with delayed excretion of contrast material into the cystic spaces (c).
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