Coronal T2-weighted MRI image in a patient with a history of | Figure 1

CincyKidsRad

Cincinnati Children's Radiology

Coronal T2-weighted MRI image in a patient with a history of acute pancreatitis and new-onset hypertension shows a large volume of fluid (arrow) surrounding the left kidney. The fluid collection is compressing left renal parenchyma causing a Page kidney. A Page kidney is an uncommon cause of secondary hypertension. In most cases, a Page kidney is caused by a hematoma related to blunt trauma, biopsy, or lithotripsy. #TummyTuesday #AbdomenTuesday

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[![A 66-year-old man with underlying stage 3b chronic kidney disease (CKD), hypertension, type 2 diabetes mellitus, benign prostatic hypertrophy, and gout undergoes partial nephrectomy for a 3-cm renal cell carcinoma in the left kidney. The operative procedure is associated with a longer than usual warm ischemia time due to complex renal anatomy. Which of the following are associated with the development of progressive CKD in this patient? a. Partial nephrectomy b. Stage 3b CKD c. Type 2 diabetes mellitus d. Prolonged intraoperative ischemia time e. All of the above Question from Brenner and Rector's The Kidney 2-Volume Set, 11th Edition. ISBN: 9780323532655. Copyright © 2020 by Elsevier, Inc.](data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAPoAAAD6CAYAAACI7Fo9AAAABGdBTUEAALGPC/xhBQAAADhlWElmTU0AKgAAAAgAAYdpAAQAAAABAAAAGgAAAAAAAqACAAQAAAABAAAA+qADAAQAAAABAAAA+gAAAACOvM8JAAAOWElEQVR4Ae3dzW9cVx3G8XPnxR7bM7bjpEmTkDYtC5BYdsE6qHRVqUgIseymtKRi0/8AwZ5dJepGYs+SgNgQaFkiESGWbWmIixPjxO9jj+f1co7LRI5zbo5fZuxzn/leybJ9zvj6/j6/+/jeefNNzIHlxk/mv5N2e++kJn0jSdKX0tRUD9yEbxFAICKBJEkep8Z8bkxyu1SZmL/z4dsrBzcv6Q/86Oe/HXu0sPqrNOndNKkp9Mf5jAAC+RGwod9Ik+SDT2/99Df7t7rovnEhX15Y+aMx6Y/tt0/Cv/+GfI0AArkQqJg0fev6a2/27t/9w1/7W7x35HZHchvy7/UH+YwAAjkX6KW/uPHOr9/qV5G4++S9XuefnK73SfiMgIzAl98qFb89P/9eu+AeeCPkMo2lEAT2C7z6Rdp93Q0U3KPr+2f4GgEEdATSXvJ9V03BPYWmUxaVIIDAfgH7tNtevgs8T76fha8R0BKwZ+w1VxHPl2v1lWoQ8AoQdC8LgwhoCRB0rX5SDQJeAYLuZWEQAS0Bgq7VT6pBwCtA0L0sDCKgJUDQtfpJNQh4BQi6l4VBBLQECLpWP6kGAa8AQfeyMIiAlgBB1+on1SDgFSDoXhYGEdASIOha/aQaBLwCBN3LwiACWgIEXaufVIOAV4Cge1kYREBLgKBr9ZNqEPAKEHQvC4MIaAkQdK1+Ug0CXgGC7mVhEAEtAYKu1U+qQcArQNC9LAwioCVA0LX6STUIeAUIupeFQQS0BAi6Vj+pBgGvAEH3sjCIgJYAQdfqJ9Ug4BUg6F4WBhHQEiDoWv2kGgS8AgTdy8IgAloCBF2rn1SDgFeAoHtZGERAS4Cga/WTahDwChB0LwuDCGgJEHStflINAl4Bgu5lYRABLQGCrtVPqkHAK0DQvSwMIqAlQNC1+kk1CHgFCLqXhUEEtAQIulY/qQYBrwBB97IwiICWAEHX6ifVIOAVIOheFgYR0BIg6Fr9pBoEvAIE3cvCIAJaAgRdq59Ug4BXgKB7WRhEQEuAoGv1k2oQ8AoQdC8LgwhoCRB0rX5SDQJeAYLuZWEQAS0Bgq7VT6pBwCtA0L0sDCKgJUDQtfpJNQh4BQi6l4VBBLQECLpWP6kGAa8AQfeyMIiAlgBB1+on1SDgFSDoXhYGEdASIOha/aQaBLwCBN3LwiACWgKl2MsZKxXNTK1iJitjpmy/LiRJ7JssvX29NDXtTtfs7LbMRr1pWu2OdL0qxUUb9EKhYF48XzVz05Mq1jJ1VMZKpjY5bi7N1cx6vWGWHm+ZTrcnU59iIVEGfaxcNNcvzxn3mSVugdnqxN7Z1sLDVbPb6sa9sSO8ddHdR3dHckKerz3S3b162f5hLhWj253yBTnErY2uM1cu1DiSD7Hhw1q1e/zk6sWZYa2e9Z5QIKqgu/t+s7WJE5bEj5+VgLvf7h40ZYlPIKqgT1cr8QmxRUcSmKmOH+n23Ph0BKIKenWCo8HptH14v6Vqj+os8QlEFfSSvZ/Hkm+BUpEextjBqILOS2Fi3EWOtk28nuloXqd166iC3ummp1U3v2dIAp0OL5wZEu2JVhtV0Hd2mycqhh8+e4Ftenj2TfBsQVRB36jvejaRoTwJbNLDKNsVVdB3dtum3uCoHuWecoiNajTbZmundYhbcpPTFogq6K74xeVN0+1xX/20d4ST/j7Xsv/8d+Okq+HnhyQQXdDdWyDvP1wzXd4NNaSWD3617g/zwtKqafKW1cHjDmiN0QXd1eXe6/yvxRWz3eA0cEB9Htpq3N2te4uPTZ1T9qEZD2LFUb5N1RXWanfNvQerZmpi3L7+vWKmKmVTKpXsP54YRNms47gCqf3HE6437v74hn0vOvfJjyt5uj8XbdD7DNv2wTn3wYIAAscXiPLU/fjl8JMIIOATIOg+FcYQEBMg6GINpRwEfAIE3afCGAJiAgRdrKGUg4BPgKD7VBhDQEyAoIs1lHIQ8AkQdJ8KYwiICRB0sYZSDgI+AYLuU2EMATEBgi7WUMpBwCdA0H0qjCEgJkDQxRpKOQj4BAi6T4UxBMQECLpYQykHAZ8AQfepMIaAmABBF2so5SDgEyDoPhXGEBATIOhiDaUcBHwCBN2nwhgCYgIEXayhlIOAT4Cg+1QYQ0BMgKCLNZRyEPAJEHSfCmMIiAkQdLGGUg4CPoHor9Syf6OL9npMScI1mfab8PVgBLq9nrFXm5Jdog/6TLWyd+21yfExUyxyAiK7J0ZQWMdewbduL/+1vrVrLxqpdRmwaINeGS+bb1ycNpWxcgS7AJswCgIleyCZrU7sfbjr/bnrvbdFLt8d5SGyNjlmXr06R8hHIV2R1uiu4vvNaxfsPliMdAuPtlnRBX28XDLXXpyzl0fmvvjRWsmtBy3gjvAvXZ4z7rGhvC/RBf2qPV0XcM37fsH2/19grFQ0l85P594jqqC706XJyljuUSlAS2BuesKUc/5AcFRBn6mOa+0hVCMjMG2f/cnzElXQJys8wp7nnUl52ydyvm9GFXT34AcLAjEKcOo+wK4ovzJpgEys6gwEejnfOaM6hLY63TNoIb8SgbBAu9ML3yjiW0QV9O2dVsRUbNooC9Rzvm9GFfT1emOU9yVqj1Rg7zXwOX/te1RBb7W7ZnVzJ9J2s1mjKvBorW64jz7g7i893jKNZnvAa2V1CBxPYHO7aVY28n/wieqI7lrh/nLef7hmw945Xmf4KQQGJLC5vWvfwbY+oLWd7WqiC7rjcPeJ7i2umGWBU6azbS+//TgCXbv/PXi0aRaW1nN/yt6vP9r3o7sj+/Jqfe+0adq+bdW9Br5cLvKutn7n+DxQgV4vNU37GNF2o2W27JFc7Z/NRBv0fhfdX9c1+x8/3AcLAggcTyDKU/fjlcJPIYBAlgBBz5JhHAEhAYIu1ExKQSBLgKBnyTCOgJAAQRdqJqUgkCVA0LNkGEdASICgCzWTUhDIEiDoWTKMIyAkQNCFmkkpCGQJEPQsGcYREBIg6ELNpBQEsgQIepYM4wgICRB0oWZSCgJZAgQ9S4ZxBIQECLpQMykFgSwBgp4lwzgCQgIEXaiZlIJAlgBBz5JhHAEhAYIu1ExKQSBLgKBnyTCOgJAAQRdqJqUgkCVA0LNkGEdASICgCzWTUhDIEoj+/7oniTG1yfG9CziM2Qs4JG6A5RmBbje1V7jpmrq96uf2bsvY61+wIPBEIOKgp+b8zJS5eK5qikVOPJ50LPDFhdmpvUtauavccGXaANYITUcZ9EKhYF6+PGum7GWYWI4uULJ/GK+8MG2q9kxocXnddO3lhlhGWyC6Q6U7M3/lyjlCPoD9cnpq3Fy7NDuANbGKvAtEF/RLczUzMV7Ou2s02++O6i+cm4pme9iQsxGIKujlYtHeL588Gwnh33phlsc5hNt7qNKiCvrsdIVH1Q/VtqPdqFhIjDuNZxldgaiCXp1gZxzWruieomQZXYGogl4uFUe3E0OuvFyK8gmWIVfN6vsCUQXdPqvGMiQBbIcEm5PVRhWtjn11F8twBDqd7nBWzFpzIRBV0BvNdi7Q8riRjWYnj5vNNg9IIKqgb9YbAyqL1RwU2KjvHhzi+xESiCroWzstw5Fn8HvfdqNpXTlbGrxsftYYVdAd24NH64Z76oPbgdzr3B883hrcCllTLgWiC7o7on+1ZMPO+yxPvEP1rOFXS2um2eL++Ykxc76C6ILuPDe3d82/H6yadqeXc96z2/xmu2vuLa6YeqN1dhvBb45GINpXUWzvts1nC8vmXG3SzNQqvJvtELuMu8uzY4O9bh/UXNvcsd/xTzoOwTYSN4k26E7fnb27f57Q/wcK5VLBuPeqszwrkNr74q2nnisn5M8qje5I1EE/2JavT+U5nT/owvcIhAQ4PIaEmEdAQICgCzSREhAICRD0kBDzCAgIEHSBJlICAiEBgh4SYh4BAQGCLtBESkAgJEDQQ0LMIyAgQNAFmkgJCIQECHpIiHkEBAQIukATKQGBkABBDwkxj4CAAEEXaCIlIBASIOghIeYREBAg6AJNpAQEQgIEPSTEPAICAgRdoImUgEBIgKCHhJhHQECAoAs0kRIQCAkQ9JAQ8wgICBB0gSZSAgIhAYIeEmIeAQEBgi7QREpAICRA0ENCzCMgIEDQBZpICQiEBAh6SIh5BAQECLpAEykBgZAAQQ8JMY+AgABBF2giJSAQEiDoISHmERAQIOgCTaQEBEICBD0kxDwCAgIEXaCJlIBASICgh4SYR0BAgKALNJESEAgJEPSQEPMICAgQdIEmUgICIQGCHhJiHgEBAYIu0ERKQCAkQNBDQswjICBA0AWaSAkIhAQIekiIeQQEBAi6QBMpAYGQAEEPCTGPgIAAQRdoIiUgEBIg6CEh5hEQECDoAk2kBARCAgQ9JMQ8AgICBF2giZSAQEiAoIeEmEdAQICgCzSREhAICRD0kBDzCAgIEHSBJlICAiEBgh4SYh4BAQGCLtBESkAgJEDQQ0LMIyAgQNAFmkgJCIQECHpIiHkEBAQIukATKQGBkABBDwkxj4CAAEEXaCIlIBASIOghIeYREBAg6AJNpAQEQgIEPSTEPAI