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Markedly elevated serum creatinine level precluded administration of contrast. MR imaging (without contrast) was planned.
Markedly swollen, enlarged right kidney, with T2 hypointense parenchymal signal, loss of corticomedullary differentiation, and pericapsular heterogeneity.
T2 isointense thrombus is seen within the right renal vein. The left renal vein is normal.