Teenager with abdominal pain and hematuria

US and CT of nutcracker syndrome
Transverse US of the abdomen (above) shows just to the left of midline compression of the left renal vein beween the superior mesenteric artery and aorta resulting in dilation of the proximal left renal vein. Axial CT with contrast of the abdomen (below) shows this more clearly.

The diagnosis was nutcracker syndrome.