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Figure 1. A 42-year-old man with a history of non-insulin-dependent diabetes presented with acute right-flank pain. He was afebrile, and an examination revealed tenderness of the right upper quadrant. The white-cell count was 17,700 per cubic millimeter, and the lactate dehydrogenase concentration was 317 U per liter. Urinalysis revealed more than 300 red cells per high-power field and severe proteinuria. The serum creatinine concentration was 1.3 mg per deciliter (115 µmol per liter), and the serum albumin concentration was 2.6 g per deciliter. A computed tomographic (CT) scan obtained after the injection of contrast material showed delayed function of . . . [Full Text of this Article] |