Changing picture of renal cortical necrosis in acute kidney injury in developing country

Figure 2 Renal cortical necrosis in a living kidney donor. Adapted from Prakash et al[32]. Non-contrast (A) computed tomography (CT) scan of abdomen at the level of right hilum showing hypoattenuating peripheral cortical rim (white arrow) as compared to the inner isoattenuating parenchyma (black arrow), On contrast-enhanced axial (B) and coronal (C) scans the central viable parenchyma enhances (black arrow) while the peripheral necrosed cortex does not show any significant enhancement (white arrow). Overall picture is suggesting renal cortical necrosis. The corresponding appearance is also well noted CT Angiogram (D) showing absent uniform nephrogram (white arrow).