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Renal lesions in autoimmune pancreatitis: diffusion weighted magnetic resonance imaging for assessing response to
Atif Zaheer1, Vivek Gowdra Halappa, Venkata S Akshintala
1Russell H Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions. Baltimore, MD, USA. azaheer1@jhmi.edu.
Context:
Autoimmune pancreatitis is a rare disorder characterized by the systemic deposition of IgG4 plasma cells. Extrapancreatic manifestations of autoimmune pancreatitis depend on the site of plasma cell deposition. The most common extrapancreatic site of involvement is the bile duct followed by the retroperitoneum and kidneys.
Case Report:
We report a case of a patient with autoimmune pancreatitis and renal lesions who underwent MRI prior to and after corticosteroid therapy.
Conclusion:
We emphasize the role of diffusion weighted imaging (DWI) and apparent diffusion coefficient (ADC) findings on MRI in evaluating the response to steroid therapy.
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