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Case 14

Renal transplant recipient with haematuria

This 30 year old man had a history of mesangiocapillary glomerulonephritis 15 years earlier. He had suffered with severe hypertension ever since. He had had a renal transplant which had failed a few years ago, and was once again on dialysis. Five years earlier ring calcification had been noted over the right kidney on a plain film and a cystic calcified lesion was confirmed on ultrasound.

He recently experienced an episode of frank haematuria and a CT examination was requested to exclude a malignancy.

What is shown on this image of his native kidneys?