PMC6374955_01
Axial view displaying left renal vein thrombosis.
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F0001
Coronal view displaying thrombosis in the renal vein with further extension into the inferior vena cava (top arrowhead). Also displayed is the ovarian vein clot (bottom arrowhead).
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F0002
Normal glomerulus without proliferative changes (Periodic acid-Schiff, original magnification x 400).
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F0003
Staining for phospholipase A2 receptor (PLA2R) was found to be negative within the glomerular deposits, raising the possibility of a secondary membranous glomerulopathy (Figure 3).
Glomerulus with granular capillary loop staining for IgG (direct immunofluorescence; original magnification x 400).
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F0004
Immunofluorescence displayed a diffuse granular capillary loop reaction for IgG (3+), C3 (2+), kappa light chain (3+), and lamba light chain (2+) (Figure 4).
Glomerular basement membranes with subepithelial electron dense deposits (original magnification x 12,000).
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F0005
Ultrastructural examination shows diffuse effacement of podocyte foot processes (Figure 5).