case_images: PMC9901913_01
case_images: PMC9901913_02
case_images: Abdominal ultrasound showing spleen normal in size with innumerable echogenic foci.
case_images: cureus-0015-00000033491-i01.jpg
case_images: PMC9901913_02_cureus-0015-00000033491-i01.jpg
case_images: FIG1
case_images: Suprarenal glands were bilaterally enlarged with loss of corticomedullary differentiation (Figures 1-5).
case_images: Abdominal ultrasound of right kidney showing loss of corticomedullary differentiation with minimal perinephric collection.
case_images: cureus-0015-00000033491-i02.jpg
case_images: PMC9901913_02_cureus-0015-00000033491-i02.jpg
case_images: FIG2
case_images: Suprarenal glands were bilaterally enlarged with loss of corticomedullary differentiation (Figures 1-5).
case_images: Abdominal ultrasound showing right suprarenal gland is enlarged (2.15 x 1.34 cm) with loss of corticomedullary differentiation.
case_images: cureus-0015-00000033491-i03.jpg
case_images: PMC9901913_02_cureus-0015-00000033491-i03.jpg
case_images: FIG3
case_images: Suprarenal glands were bilaterally enlarged with loss of corticomedullary differentiation (Figures 1-5).
case_images: Abdominal ultrasound showing liver is normal in size. The presence of innumerable hypoechoic foci distributed in portal venous tracts and liver parenchyma. Periportal attenuation with nonvisualization of portal vein wall, collapsed IVC and attenuated hepatic vein also evident. Pericholecystic edema along with air in the gallbladder wall.
case_images: cureus-0015-00000033491-i04.jpg
case_images: PMC9901913_02_cureus-0015-00000033491-i04.jpg
case_images: FIG4
case_images: Suprarenal glands were bilaterally enlarged with loss of corticomedullary differentiation (Figures 1-5).
case_images: Abdominal ultrasound showing umbilical venous catheter (UVC) entering the left lobe of the liver, surrounded by edema.
case_images: cureus-0015-00000033491-i05.jpg
case_images: PMC9901913_02_cureus-0015-00000033491-i05.jpg
case_images: FIG5
case_images: Suprarenal glands were bilaterally enlarged with loss of corticomedullary differentiation (Figures 1-5).
case_images: Transcranial ultrasound (sagittal view) showing diffuse hypoechoic appearance of the brain parenchyma with indistinct gray-white matter interface and symmetrical ventricular system attenuation. Scattered innumerable hypoechogenic foci. No signs of intracranial hemorrhage.
case_images: cureus-0015-00000033491-i06.jpg
case_images: PMC9901913_02_cureus-0015-00000033491-i06.jpg
case_images: FIG6
case_images: Transcranial ultrasound showed diffuse hypoechoic appearance of the brain parenchyma with indistinct gray-white matter interface and symmetrical ventricular system attenuation as well as scattered innumerable hypoechogenic foci (Figures 6, 7).
case_images: Transcranial ultrasound (transverse view) showing diffuse hypoechoic appearance of the brain parenchyma with indistinct gray-white matter interface and symmetrical ventricular system attenuation. Scattered innumerable hypoechogenic foci. No signs of intracranial hemorrhage.
case_images: cureus-0015-00000033491-i07.jpg
case_images: PMC9901913_02_cureus-0015-00000033491-i07.jpg
case_images: FIG7
case_images: Transcranial ultrasound showed diffuse hypoechoic appearance of the brain parenchyma with indistinct gray-white matter interface and symmetrical ventricular system attenuation as well as scattered innumerable hypoechogenic foci (Figures 6, 7).
case_images: Transcranial ultrasound (20 minutes later) showing improvement in gray-white matter interface and the size of ventricles, decreased hypoechoic foci.
case_images: cureus-0015-00000033491-i08.jpg
case_images: PMC9901913_02_cureus-0015-00000033491-i08.jpg
case_images: FIG8
case_images: Upon multiple follow-ups in the next 12 hours, all previous findings dramatically subsided with complete resolution back to normal (Figures 8-10).
case_images: Abdominal ultrasound (10 minutes later) showing the size of right suprarenal gland decreased to 1.81 x 0.99 cm.
case_images: cureus-0015-00000033491-i09.jpg
case_images: PMC9901913_02_cureus-0015-00000033491-i09.jpg
case_images: FIG9
case_images: Upon multiple follow-ups in the next 12 hours, all previous findings dramatically subsided with complete resolution back to normal (Figures 8-10).
case_images: Abdominal ultrasound (20 minutes later) showing the size of right suprarenal gland decreased to normal.
case_images: cureus-0015-00000033491-i10.jpg
case_images: PMC9901913_02_cureus-0015-00000033491-i10.jpg
case_images: FIG10
case_images: Upon multiple follow-ups in the next 12 hours, all previous findings dramatically subsided with complete resolution back to normal (Figures 8-10).