Muddy brown granular casts

  • Urine sediment showing multiple, muddy brown granular casts.  These findings are highly suggestive of acute tubular necrosis in a patient with Acute kidney injury (Acute renal failure).
muddy brown granular casts

muddy brown granular casts

muddy casts

muddy casts

 1: Muddy brown cast  (dirty brown hemoglobinuric pigment) 2: Waxy cast 3: Necrotic RTC cells 4: RTC-hyaline cast

1: Muddy brown cast (dirty brown hemoglobinuric pigment)
2: Waxy cast
3: Necrotic RTC cells
4: RTC-hyaline cast

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