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45 Cards in this Set

  • Front
  • Back

Unilateral Renal Agenesis

Only having 1 kidney at birth


Congenital abnormality

Supernumerary Kidney

Having 3 kidneys at birth


3rd kidney is usually smaller than normal

Hypoplastic Kidney

"mini-kidney"


anatomy and function are the same


just smaller in size



not the same as "atrophic kidney" which becomes small due to inadequate blood supply

Compensatory Hypertrophy


Acquired condition


Large kidney preforms work for two kidneys


Usually due to inability of other kidney or renal genesis


Hypoplastic kidney


Delayed/prolonged nephrogram

Horseshoe Kidney


Most common fusion anomaly


Kidneys joints medially at lower poles


Prolonged nephrogram left


Delayed calcyleal left


Obstructive stone

Horseshoe Kidney


Most common fusion anomaly


Kidneys joined at lower poles


Tranverse US


Flank pain


Stone UVJ

Horseshoe Kidney


Most common fusion anomaly


Both kidneys improperly positioned and lower poles joined creating horseshoe shape


w/Con

Ectopic Kidney (Intra-thoracic Kidney)


Kidney notpositioned normally within abdomen


Kidney in pelvis = pelvic kidney

Ectopic Kidney (Pelvic Kidney)


Kidney notpositioned normally within abdomen



Kidney in pelvis = Pelvic Kidney

Ectopic Kidney (Intra-thoracic Kidney)


Kidney notpositioned normally within abdomen



Kidney above diaphragm = Intra-thoracic Kidney

Simple Ureterocele


Stenosis of ureter orifice -> urine backs up -> increased pressure -> dilation distal -> ureter prolapses into bladder


Ureterocele FILLED with contrast:


Round contrast filled density with lucent outline in contrast filled bladder


Ureterocele NOT filled with contrast:


Appears as radiolucent mass (filling defect in contrast filled bladder)


Cobrahead sign



Simple Ureterocele


Stenosis of ureter orifice -> urine backs up -> increased pressure -> dilation distal -> ureter prolapses into bladder


Ureterocele FILLED with contrast:


Round contrast filled density with lucent outline in contrast filled bladder


Simple Ureterocele


Stenosis of ureter orifice -> urine backs up -> increased pressure -> dilation distal -> ureter prolapses into bladder


Ureterocele NOT filled with contrast:


Appears as radiolucent mass (filling defect in contrast filled bladder)


Simple Ureterocele


Stenosis of ureter orifice -> urine backs up -> increased pressure -> dilation distal -> ureter prolapses into bladder


Dilation

Kidney Stones (Renal Calculus)


Consolidation of material usually in kidney


Calcium


Common sites: UPJ /UVJ


Hematuria


Flank pain radiating toward groin


Phleboliths

Kidney Stones (Renal Calculus)


  • Excretory Urography (IVU)
  • Consolidation of material usually in kidney
  • Calcium obstruction
  • Common sites: UPJ / UVJ
  • Filling defects in contrast filled renal pelvis, ureter, bladder
  • Delayed/Prolonged nephrogram left
  • hydronephrosis left (dilation of renal pelvis/calyces)
  • Hydroureter (distal to obstruction
  • Failure of contrast to pass down left ureter

Kidney Stones (Renal Calculus)


  • Consolidation of material usually in kidney
  • Common sites: UPJ/UVJ
  • Opaque stone left proximal ureter
  • Hydronephrosis left
  • Flank pain
  • CT Non/Con

Polycystic Kidney Disease (Inherited)


Extretory urography


Caused by chronic compression of nephrons due to hypertension


Lobulated enlargement of kidney


Progressive loss of function


Crescent shape to kidney


Multiple Cysts (swiss-cheese pattern)


Delayed/prolongs nepgrogram

Polycystic Kidney Disease (Inherited)


Caused by chronic compression of nephrons due to hypertension


Lobulated enlargement of kidney


Progressive loss of function


Crescent shape to kidney


Multiple Cysts (swiss-cheese pattern)


Thinning of renal parenchyma

Polycystic Kidney Disease (Inherited)


Caused by chronic compression of nephrons due to hypertension


progressive loss of function


Enlarged kidney


Cysts


Destruction of renal parenchyma


US = screening tool


Polycystic Kidney Disease (Inherited)


Caused by chronic compression of nephrons due to hypertension


progressive loss of function


Enlarged kidney


Cysts


Destruction of renal parenchyma


US = screening tool

Polycystic Kidney Disease (Inherited)


Caused by chronic compression of nephrons due to hypertension


progressive loss of function


Lobulated enlargement of kidney


Progressive loss of function


Crescent shape to kidney


Multiple Cysts (swiss-cheese pattern)


Thinning of renal parenchyma


IV con

Polycystic Kidney Disease (Inherited)


Caused by chronic compression of nephrons due to hypertension


progressive loss of function


·Excretory Urography


o Enlarged kidney


o Lobulated contour


o Cresent shape


o “swiss cheese” pattern of multiple cysts


o Cysts may have calcifications


o Delayed/Prolonged nephrograms

Polycystic Kidney Disease (Inherited)


Caused by chronic compression of nephrons due to hypertension


progressive loss of function


Excretory Urography


o Enlarged kidney


o Lobulated contour


o Cresent shape


o “swiss cheese” pattern of multiple cysts


o Cysts may have calcifications



o Delayed/Prolonged nephrograms

Polycystic Kidney Disease (Inherited)


Caused by chronic compression of nephrons due to hypertension


progressive loss of function


o Enlarged kidneys


o Multiple cysts


o Thinning of renal parenchyma


o PO Contrast

Polycystic Kidney Disease (Inherited)


Caused by chronic compression of nephrons due to hypertension


progressive loss of function


o Enlarged kidneys


o Multiple cysts


o Thinning of renal parenchyma


o PO Contrast


Polycystic Kidney Disease (Inherited)


Caused by chronic compression of nephrons due to hypertension


progressive loss of function


o Enlarged kidneys


o Multiple cysts


o Thinning of renal parenchyma


T2

Wilm's Tumor (Nephroblastoma)


Common in infants/children


Lesions asris from embryonic renal tissue


Tumor w/ medullary origins


Malignant


Large palpable mass


Displaced kidney


Distorted collecting systems


IV Con



Wilm's Tumor (Nephroblastoma)


Common in infants/children


Lesions asris from embryonic renal tissue


Tumor w/ medullary origins


Malignant


Large palpable mass


Displaced kidney


Distorted collecting systems


IV Con

Wilm's Tumor (Nephroblastoma)


Common in infants/children


Tumor of adrenal medullary origin, arise from embryonic renal tissue


Malignant


Large palpable mass


Displaced kidney


Distorted collecting systems


Distinguishes tumor from hydronephrosis


Large complex mass


Kidney hilum displaced medially

Wilm's Tumor (Nephroblastoma)


Common in infants/children


Tumor of adrenal medullary origin, arise from embryonic renal tissue


Malignant


Large palpable mass


Displaced kidney


MRI T2


Distorted collecting systems

Wilm's Tumor (Nephroblastoma)


Common in infants/children


Tumor of adrenal medullary origin, arise from embryonic renal tissue


Malignant


Large palpable mass


Displaced kidney


MRI T1

Polycystic Kidney Disease (Inherited)


Caused by chronic compression of nephrons due to hypertension


o Enlarged kidneys


o Multiple cysts


o Thinning of renal parenchyma


T2

Simple Cyst


Nephrotomogram


fluid filled cyst


elevates adjacent edges of cortex


Benign = smooth borders


Thin radiopaque rim

SImple Cyst


Anechoic lesions


Well defined wall


Distinguish simple cyst vs solid mass


Benign

SImple Cyst


Fluid Filled Cyst


Benign


CT PO Con


Gallstones


Aortic Calcifications


Uniform attentuation near water


Hypodense mass

Simple Cyst


Fluid Filled cyst


Benign


CT PO/IV con


Simple cyst apparent


Hypodense mass

Simple Cyst


Fluid Filled cyst


Benign


CT PO/IV con


Simple cyst apparent


Hypodense mass

Simple Cyst


Fluid Filled cyst


Benign & Malignant


CT PO/IV con


Simple cyst apparent


Hypodense mass

Simple Cyst


Fluid Filled cyst


MASS


Non Con


Density in left kidney

Simple Cyst


Fluid filled cyst


MASS


ARTERIAL PHASE


Filling defect left kidney


Nothing filling left kidney


IV Con

Simple Cyst


Fluid filled cyst


MASS


NEPHROGRAPHIC PHASE


Filling defect left kidney


Nothing filling left kidney


IV Con

Simple Cyst


Fluid filled cyst


MASS


NON CON


Filling defect left kidney


Nothing filling left kidney


Low density mass in left

Simple Cyst


Fluid filled cyst


MASS


ARTERIAL PHASE


Filling defect left kidney


Nothing filling left kidney


Low density mass in left

Simple Cyst


Fluid filled cyst


MASS


NEPHROGRAPHIC PHASE


Filling defect left kidney


Nothing filling left kidney


Low density mass in left