Acute Kidney Injury, Hypercalcemia, and Osteolytic Lesions: A Familiar Triad With a Rare Cause Complicated by Posterior Reversible Encephalopathy Syndrome  Nilesh Hanumant Pawar, MBBS, Priscilla Pei Sze Chiam, MBChB, MRCP, Jessica Han Ying Tan, MBBS, MRCP, Jiashen Loh, MBBS, MRCP, Derrick Chen-Wee Aw, MBBS, MRCP, Shashidhar Baikunje, FRCP(UK), MRCP (nephrology)(UK)  American Journal of Kidney Diseases  Volume 70, Issue 5, Pages A12-A15 (November 2017) DOI: 10.1053/j.ajkd.2017.07.010 Copyright © 2017 National Kidney Foundation, Inc. Terms and Conditions

Figure 1 Imaging. (A, B) Skeletal survey shows multiple osteolytic lesions in the skull, appendicular, and axial skeleton. (C) Computed tomographic scan of head bone window shows innumerable osteolytic lesions of the skull. Magnetic resonance imaging of the brain shows bilateral occipital symmetrical hyperintensities in (D) fluid-attenuated inversion recovery (FLAIR) and (E) T2 sequences. (F) Apparent diffusion coefficient images show no diffusion restriction in the occipital region, suggesting the reversibility of the pathology. American Journal of Kidney Diseases 2017 70, A12-A15DOI: (10.1053/j.ajkd.2017.07.010) Copyright © 2017 National Kidney Foundation, Inc. Terms and Conditions