Calyceal crescent sign (intravenous pyelogram)
Citation, DOI, disclosures and article data
At the time the article was created Frank Gaillard had no recorded disclosures.View Frank Gaillard's current disclosures
The calyceal crescent sign (of Dunbar and Nogrady) 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 pediatric radiologists J S Dunbar and M B 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