Dense appearance of the kidneys | Figure 1

CincyKidsRad

Dense appearance of the kidneys

Abdominal x-ray in an infant with renal failure shows a dense appearance of the kidneys. This dense nephrogram was caused by retention of contrast after an interventional procedure. A bilateral dense nephrogram can be caused by hypotension (related to sepsis or an allergic reaction to contrast). Other causes include renal artery stenosis, acute kidney injury, or urinary obstruction.


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