PMC7265054_01
Renal biopsy demonstrating minimal change disease. Electron microscopy of a portion of glomerulus depicting podocyte foot process effacement without any intra-glomerular deposits and basement membrane thickening.
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Subsequent renal biopsy revealed mild acute tubular necrosis with hyaline nephrosclerosis and extensive podocyte effacement with preserved glomerular structure on electron microscopy indicative of minimal change disease (Fig. 1).
CT chest demonstrating right greater than left pleural effusions. (A) Lung window. (B) Mediastinal window.
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A contrast-enhanced computed tomography (CT) of the chest showed bilateral pleural effusions, right greater than left side (Fig. 2), and transthoracic echocardiography demonstrated moderate diastolic dysfunction but a normal ejection fraction and no structural heart disease.
Posterior Anterior chest x-ray demonstrating resolution of pleural effusions.
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Follow Up: In outpatient follow-up three months later, his dyspnea and pleural effusions had fully resolved (Fig. 3).
Graph demonstrating trend in proteinuria.
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Furthermore, his proteinuria had resolved, his urine protein creatinine ratio was 184 mg/g creatinine, and his creatinine had returned to baseline (0.9 mg/dL) (Fig. 4).