The calyceal crescent sign (Dunbar crescents) refers to the early intravenous pyelogram (IVP) appearance of markedly dilated renal calyces. It is formed by early contrast opacification of the dilated collecting ducts and ducts of Bellini with the characteristic shape as a result of the associated enlarged calyces.
This appearance can be appreciated on IVP and CT contrast excretory phase and becomes isoattenuating to the parenchyma as the kidney opacifies.
It is a marker of elevated pressure within the renal pelvis and is an important indicator as to whether the renal function is recoverable.
History and etymology
First described by Canadian paediatric radiologist JS Dunbar (with MB Nogrady) in 1970 3.
- 1. Khanna Geetika. “The Calyceal Crescent Sign.” Radiology 236, no. 2 (August 1, 2005): 653-654. doi:10.1148/radiol.2362031411.
- 2. Dyer RB, Chen MY, Zagoria RJ. Classic signs in uroradiology. Radiographics. 2004;24 Suppl 1 (suppl 1): S247-80. Radiographics (full text) - doi:10.1148/rg.24si045509 - Pubmed citation
- 3. Dunbar JS, Nogrady MB. The calyceal crescent--a roentgenographic sign of obstructive hydronephrosis. (1970) The American journal of roentgenology, radium therapy, and nuclear medicine. 110 (3): 520-8. Pubmed