Renal Ultrasound
Renal Ultrasound
F0
Fr
their appearances.
• List indications and describe protocol for Renal Sonography.
• Is a retroperitoneal organ
and laterally.
• Renal
pelvis
• pyramids
• calyces
Flank pain
Haematuria
Post injury
Kidney size
Cortical thickness(not <1cm)
Cortico-medullary differentiation
A) Preparation of patient
B) Positioning a patient
C) Choice of transducer:
Patient supine
deep breath
renal cortex,
medulla and
renal sinus
junction
Outer portion
convoluted tubules
• Base-broad
therapy.
to atrophy of parenchyma.
Fetal Lobulation
Dromedulary Hump
Both the absence of mark pyramids and very many and enlarged
There isn’t any expansions of neither renal pelvis nor outgoing ureter.
1.Renal agenesis
In case of a faulty interaction between Ureteric bud and metanephric blastema, the
compensatory hypertrophy.
transplant).
(crossed-fused-ectopia)
1) Pelvic Kidney
3) Crossed Ectopia
obstruction ,calculi,diabetes,catheters.
episodes.
obstruction.
Assignment
• Acute Tubular Necrosis
• Acute Cortical Necrosis
• Glomerulonephritis
• Diabetes Mellitus
• Amyloidosis
A) Acute Disease
B) Chronic Disease
medullary calcification
differentiation
ureteric obstruction
infection
Usually due to cellular ischemia and direct tubular epithelial cell injury induced
by nephrotoxins
stones.
neoplastic tumours.
tract.
Cystine stones are the rarest of all and result from cystinuria.
Hyper echoic pyramids are seen which may shadow if large calcific foci.
Intrarenal gas
Renal artery calcification
Calcified sloughed papilla
Calcified transitional cell tumor
Alkaline-encrusted pyelitis
Encrusted calcification of ureteric stent
Generally they are peripheral but may occur within the kidney
adjacent to the renal pelvis.
of the kidney.
kidney cyst.
I. Anechoic
Cysts arising near renal pelvis may some times simulate a dilated Collecting system.
Thick wall
calcification, perceptible defined wall, or mural nodularity.
Irregularity at base of the cyst.
frequency.
• Infection,
• Hemorrhage,
• Stone formation, cyst rupture, and obstruction.
degeneration.
bilateral).
development in utero.
A. Angiomyolipoma
homogeneous, highly echogenic, usually rounded lesion in the renal
parenchyma.
Tumor echogenicity depends on its constituents .
Fatty tissue
Smooth muscle
Blood vessels
usually solitary, asymptomatic lesions, found incidentally on the scan.
tend to be smaller and more echogenic than RCC, and may demonstrate
shadowing.
CT is -identify the fat content of the lesion
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Cont’d
Longitudinal transabdominal
ultrasound depicts a large hyperechoic
AML with focal shadowing AML,distorting renal sinus complex.
.
Homogenous
Hypo to iso echoic and hyper echoic central scar.
of cases).
areas.
• Longitudinal
transabdominal ultrasound
shows a small RCC. The
tumor is hyperechoic
relative to the renal
parenchyma and has a
hypoechoic
"pseudocapsule" ~ typical of
RCC
• Introduction
over-distended bladder.
system is increased
bladder
qu i t
ever g ! !
N a d in
Re
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