PMC7522537_01
Severe ballooning of the left kidney with loss of parenchyma and cortex and filled with hypodense content representing left kidney replaced by hematoma with perinephric extension (the star), left dj was seen with its tip in what is assumed to be the left PUJ (arrow).
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Non contrasted CT scan was done (Fig. 1) which showed a huge left perinephric hematoma (PH) displacing the left kidney medially.
Left renal and perirenal hematoma chronic in appearance measured 13.7 x 10.3 x 10 cm.
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2 months later, a follow up non-contrasted CT was done (Fig. 2) which showed the left PH to be smaller in size and chronic in appearance.
Small atrophied left kidney with chronic hematoma measured 6 x 5 x 5.5 cm.
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A non-contrast CT scan was done (Fig. 3) and it showed small, atrophic left kidney with a smaller chronic hematoma.