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Journal of Nuclear Medicine Technology

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Case ReportCASE REPORTS

Wandering Kidney in Dual-Kidney Transplant Recipient Presents a Pitfall in the Interpretation of Renal Scintigraphy

Nathan D. Anavy, Chirag S. Desai, Ryan Avery and Phillip H. Kuo
Journal of Nuclear Medicine Technology December 2012, 40 (4) 275-277; DOI: https://doi.org/10.2967/jnmt.111.101592
Nathan D. Anavy
Department of Medical Imaging, University of Arizona, Tucson, Arizona
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Chirag S. Desai
Department of Medical Imaging, University of Arizona, Tucson, Arizona
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Ryan Avery
Department of Medical Imaging, University of Arizona, Tucson, Arizona
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Phillip H. Kuo
Department of Medical Imaging, University of Arizona, Tucson, Arizona
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    FIGURE 1.

    Anterior-view 99mTc-MAG3 renogram obtained 3 d after transplantation. Lower pole of superior kidney and upper pole of inferior kidney overlap. Expected radiotracer accumulation in region of urinary bladder is not seen (arrowhead).

  • FIGURE 2.
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    FIGURE 2.

    Anterior-view 99mTc-MAG3 renogram obtained 7 d after initial renogram. Single reniform shape is seen (arrow), suggesting loss of perfusion and function in superior renal transplant. Radiotracer is seen within bladder (arrowhead).

  • FIGURE 3.
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    FIGURE 3.

    Sonogram of transplanted kidneys, demonstrating anatomic overlap.

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    FIGURE 4.

    Sagittal reconstruction of abdominal and pelvic CT scan. Essentially complete overlap of transplanted kidneys (arrows) in anteroposterior plane is seen to be cause of renography misinterpretation.

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    FIGURE 5.

    Three days after CT, planar lateral-view 99mTc-MAG3 scans obtained before and after furosemide confirm that the 2 transplanted kidneys are aligned anteroposteriorly as seen on sonography and CT.

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Journal of Nuclear Medicine Technology: 40 (4)
Journal of Nuclear Medicine Technology
Vol. 40, Issue 4
December 1, 2012
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Wandering Kidney in Dual-Kidney Transplant Recipient Presents a Pitfall in the Interpretation of Renal Scintigraphy
Nathan D. Anavy, Chirag S. Desai, Ryan Avery, Phillip H. Kuo
Journal of Nuclear Medicine Technology Dec 2012, 40 (4) 275-277; DOI: 10.2967/jnmt.111.101592

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Wandering Kidney in Dual-Kidney Transplant Recipient Presents a Pitfall in the Interpretation of Renal Scintigraphy
Nathan D. Anavy, Chirag S. Desai, Ryan Avery, Phillip H. Kuo
Journal of Nuclear Medicine Technology Dec 2012, 40 (4) 275-277; DOI: 10.2967/jnmt.111.101592
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Keywords

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