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          Patient with prenatal hydronephrosis. Lasix renography.
              
    
    

          
    
          
  
  
  
      
          
            
          
  
      
  
  
          
    
          2011
            
          

  
  
          
  
          

    
    
    
          
  Teaching Case    
    
    
  
          
  
          

    
    
    
          
    
    
    
  
          
  
          

    
    
    
          
  
          Case presentation:
          

            

          • Male.
            • 

          • 3 month old.
            • 

          • Second pregnancy.?
            • 

          • 20 w US: LK HN, pelvis 22 mm.
            • 

          • After delivery: a. US performed day 7th: persistent LK HN. b. LK: Increased size.Pelvis 25 mm . Thin parenchyma.
            • 

          

          Teaching points:
          

            

          • In case of severe hydronephrosis, activity can persist in the dilated system on the DMSA images obtained 4 hours after tracer injection.
            • 

          • In these cases, it is advisable to obtain delayed DMSA images, 24 hours after injection.
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