Lithium-induced nephropathy

Case contributed by Dr Aneta Kecler-Pietrzyk

Presentation

Deteriorating renal function. Background history of depression treated with lithium.

Patient Data

Age: 60 years
Gender: Male
Ultrasound

Representative images from renal ultrasound demonstrating bilateral poor corticomedullary differentiation. 

Additionally there are numerous punctate echogenic foci seen throughout the renal parenchyma bilaterally, likely representing minute cysts.

No hydronephrosis or suspicious mass lesion.

Case Discussion

Lithium-induced renal disease has a unique imaging appearance of numerous uniform microcysts and punctate echogenic foci which may be cortical or medullary in origin.

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Case information

rID: 67524
Published: 9th Apr 2019
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included

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