Fig. 14
From: Errors, discrepancies and underlying bias in radiology with case examples: a pictorial review
A complication developing under ideal conditions. A 64-year-old female patient with suspected sepsis was suffering from severe abdominal pain disproportionate to the clinical examination findings. Abdominal CECT was ordered to rule out “mesenteric vascular disease” after explaining all the risks of the procedure (including contrast-induced nephropathy) to the patient. Before the procedure, the glomerular filtration rate (GFR) was 54.5 ml/min/1.73 m2. After CECT, a progressive decline of GFR was observed. When the periprocedural GFR values were evaluated, it was clearly understood that contrast-induced nephropathy had developed (a). Follow-up NECT 24 h after the first examination revealed contrast retention of kidneys due to impaired filtration functions (red arrows, b)