Papillary necrosis

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POSTCARD

  • Pyelonephritis
  • Obstruction
  • Sickle cell
  • Tb
  • Cirrosis
  • Analgesics
  • Renal vein thrombosis
  • Diabetes


Ball on a Tee - central necrosis

Lobster Claw - sloughing of edges of papilla

Signet Ring contrast extends into medulla surrounding necrotic segment


Differential for Filling Defect

  • Neoplasm - TCC
  • Stone
  • Papillary necrosis
  • Blood
  • Fungus