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Figure 3. Case 2: (a) 99Tcm-MAG3 renogram 5 days after high dose urography demonstrates severe reduction in perfusion and function of left kidney with no excretion of tracer. (b) Follow up renogram 6 weeks post placement of left nephrostomy (arrows); there is improved perfusion of left kidney, dramatic improvement in left renal function and normal excretion of tracer.