Is It ATM?

Muddy brown casts are diagnostic of ATM or just suggestive? It's diagnostic. Plus, you had this into the modibround cast. You see something or a schematic sharing of the renal tubular epithelial cells. That also can be there and if there are inid and tibular epithelial Cells that's diagnostic of equitibratory injury. This is ATM probably from, if it's surgical, probably from some hypotension in the OR,. Decrease perfusion.