Microscopic findingPathologic process
Fatty casts, free fat or oval fat bodiesNephrotic range proteinuria (> 3.5 g per 24 hours)
Leukocytes, leukocyte casts with bacteriaUrinary tract infection
Leukocytes, leukocyte casts without bacteriaRenal interstitial disease
Normal-shaped erythrocytesSuggestive of lower urinary tract lesion
Dysmorphic erythrocytesSuggestive of upper urinary tract lesion
Erythrocyte castsGlomerular disease
Waxy, granular or cellular castsAdvanced chronic renal disease
Eosinophiluria*Suggestive of drug-induced acute interstitial nephritis
Hyaline castsNo renal disease; present with dehydration and with diuretic therapy