PMC9325594_01
Axial noncontrast CT through the head of the pancreas shows coarse calcifications within the pancreatic parenchyma more pronounced in the head and uncinate process and are also seen in bilateral perinephric fat stranding.
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fig1
Figures 1 and 2 show the images of the CT scans.
Coronal noncontrast CT through the upper abdomen shows calcifications along the body of the pancreas and mild dilatation of the pancreatic duct measuring up to 9.7 mm.
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Figures 1 and 2 show the images of the CT scans.
H&E (X200): diffuse acute tubular injury characterized by tubular epithelial simplification and dilation with numerous pale refractile intratubular casts.
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The diagnosis was severe acute on chronic tubular injury with calcium oxalate deposits and nodular diabetic glomerulosclerosis (see Figures 3 and 4).
Partially polarized light microscopy (X100) shows diffuse birefringent intratubular casts.
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fig4
The diagnosis was severe acute on chronic tubular injury with calcium oxalate deposits and nodular diabetic glomerulosclerosis (see Figures 3 and 4).