Bouquet of flowers appearance (medullary sponge kidney)

Dr Dan J Bell and Dr Ian Bickle et al.

A bouquet of flowers appearance is a description given to the appearances of medullary sponge kidney on a traditional intravenous pyelogram (IVP) study. The ectatic distal collecting ducts contain the microcalcifications typical of the disease. This is also known as the bunch of grapes appearance.

The term may be used equally for the appearances on CT-IVP, especially when MIP images are employed to give coronal images similar to those from a traditional IVP.

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Article information

rID: 21067
System: Urogenital
Section: Signs
Tags: stub, cases, refs
Synonyms or Alternate Spellings:
  • Flower bouquet appearance
  • Bunch of grapes appearances in medullary sponge kidneys
  • Bouquet of flowers appearance

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Cases and figures

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    Case 1: bouquet of flowers
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    Case 2
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