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Review Question - QID 213495

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QID 213495 (Type "213495" in App Search)
A 42-year-old woman is admitted to the hospital for bacterial endocarditis and started on IV fluids and antibiotics. On hospital day 2, she develops severe back pain, accompanied by nausea and vomiting. Temperature is 99.8°F (37.7°C), blood pressure is 140/85 mmHg, pulse is 88/min, and respirations are 16/min. Physical exam reveals a systolic cardiac murmur and right-sided costovertebral angle tenderness. Urinalysis shows erythrocytes but no leukocytes, casts, or bacteria. CT scan with IV contrast is shown below (Figure A). What is the most likely cause of this patient's back pain?
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