Presentation
Left lower quadrant pain.
Patient Data
Age: 50 years
Gender: Male
From the case:
Lithium-induced nephrotoxicity
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Normal-sized kidneys with diffuse cortical microcysts. Left upper pole renal mass. Descending colitis.
Case Discussion
There’s a lot to look at here! Aside from the typical findings of lithium kidneys, there is also a suspected left RCC which should undergo biopsy. The pattern of descending colitis is typical of nonocclusive ischemic colitis and the reason for the patient's presentation.
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