Diagnostic Imaging Pathways - Acute or Acute on Chronic Renal Failure

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Acute on Chronic Renal Failure

Image 1a, 1b, 1c (Right Kidney - Ultrasound), 1d and 1e (Left Kidney - Ultrasound): Both kidneys are small and echogenic. The right kidney measures 7.8cm and the left kidney measures 8.9cm. There is no evidence of hydronephrosis and no renal calculi are seen. No vascular flow could be demonstrated within the parenchyma one either side. No collection is seen around either kidney. The bladder which is not illustrated here is well distended without focal abnormality. Vesicoureteric jets could not be visualised. These images are consistent with a chronic process such as a vasculitis.