A 51 yo female patient suffered from hematuria for a few weeks. She went to Medic Center for abdominal ultrasound. Color Doppler of the abdomen detected an AVM at the upper pole of the right kidney, d= 4.6cm in diameter, which has aliasing inside and spectral waveform of AVM (see 2 images).
MSCT with CE detected A-V shunt at the upper pole of right kidney (see 3 images).
The patient underwent DSA to make sure AVM diagnosis. The right renal artery divides into 2 branches: the upper branch feeding for lower pole of the kidney, and the lower branch, for the A-V shunt. This is not detected on the Angio MSCT ( see 3 images ).