If you have someone who presents to you with a spontaneous renal hemorrhage, what causes come to your mind? Things to keep in your mind are:Renal Cell Cancer
Angiomyolipoma
Abscess
Hemorrhagic cyst
Arteriovenous Malformations
Idiopathic
The above list was based on a radiology study of 18 patients where a cause was discovered ultimately by CT scan rather than Ultrasound.
http://www.ncbi.nlm.nih.gov/pubmed/2672096
http://www.ncbi.nlm.nih.gov/pubmed/2300864
http://www.ncbi.nlm.nih.gov/pubmed/11517829
Image source: http://www.catscanman.net/blog/
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