Anatomy clinical correlates Quiz: Ace Your Exams
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A 56-year-old woman comes to the clinic with flank pain. The pain began insidiously a month ago. She has not had nausea, vomiting, hematuria, dysuria, fever, or altered bowel habits. Past medical history is significant for a subtotal abdominal hysterectomy two months ago for uterine fibroids. She does not smoke, drink or consume alcohol. Family history is noncontributory. Temperature is 37.0°C (98.6°F), pulse is 90/min, respirations are 20/min, and blood pressure is 110/75 mmHg. Abdominal examination reveals tenderness to palpation over the lower back. Urinalysis is negative for leukocyte esterase and nitrites. Abdominal CT is shown below. Which of the following is the most likely diagnosis?

Reproduced from radiopedia.org
Case courtesy of David Puyó

Reproduced from radiopedia.org
Case courtesy of David Puyó
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