Articles

Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and edited by countless contributing members over a period of time. A global group of dedicated editors oversee accuracy, consulting with expert advisers, and constantly reviewing additions.

1,074 results found
Article

Renal tubular acidosis

Renal tubular acidosis (RTA) refers to defects in the renal tubular transport of hydrogen ions, bicarbonate ions, or both, in the kidneys resulting in a normal anion gap metabolic acidosis.  Epidemiology The exact prevalence of renal tubular acidosis is unknown but the entity is probably under...
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Seminal vesiculitis

Seminal vesiculitis is an uncommon entity characterized by inflammation of the seminal vesicles. It is most commonly infective in etiology and often associated with concurrent infection elsewhere in the male genital tract, forming part of the spectrum of male accessory gland inflammation 4. It i...
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Adrenal abscess

Adrenal abscesses are rare lesions affecting the adrenal glands and are usually encountered in the setting of disseminated infection. Epidemiology Although cases have been described in both neonates and adults, no systematic literature is available on the epidemiology of adrenal abscesses.  P...
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Lateroconal fascia

The lateroconal fascia is the peritoneal thickening which extends anterolaterally from the adjoining merging lateral borders of the anterior and posterior perirenal fasciae. Gross anatomy It increases progressively in length as it ranges distally. It traverses laterally in a transverse plane a...
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Renal replacement therapy

Renal replacement therapy (RRT) (also called renal dialysis or just dialysis) is used to supplement renal function in patients with either end-stage chronic kidney disease or medically-refractory acute renal impairment. Theory Haemodialysis refers to the diffusion of solutes in solution across...
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Detrusor muscle

The detrusor muscle (or detrusor urinae muscle)is the smooth muscle component of the urinary bladder and facilitates contraction of the bladder wall during micturition. Gross anatomy Forms the smooth muscle component of the bladder wall. The urothelial lining overlies it within the bladder cav...
Article

Spermatic cord liposarcoma

Spermatic cord liposarcomas are the most common malignant tumor of the spermatic cord. Most present as painless, slow-growing masses and can be mistaken for inguinal hernias. They are usually well-differentiated and spread by local extension.  Epidemiology In a large population-based registry,...
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Drug-induced renal calculi

Drug-induced renal calculi are a subtype of renal calculi, whereby the stone formation is related to the patient's medication. Two main types of drug-induced calculi are described: medication-containing metabolically-induced Epidemiology Overall drug-induced urolithiasis accounts for 1-2% o...
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Fluorine-18-labeled sodium fluoride

Fluorine-18-labeled sodium fluoride (also known as 18F-NaF or sodium fluoride) is a PET radiotracer used primarily for skeletal imaging. Structure Fluorine-18-labeled sodium fluoride is an ionic compound comprised of a single sodium atom bound to a positron-emitting isotope of fluorine.  Dist...
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Erased charcoal sign (prostate cancer)

The erased charcoal sign describes the typical appearance of focal prostate cancer in the transition zone characterized as homogeneous hypointensity on T2WI with ill-defined borders, akin to a charcoal pencil drawing smudged with an eraser, often with a lenticular or waterdrop-like shape.
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Anal triangle

The anal triangle forms the posterior half of the diamond-shaped perineum. The triangle's three corners are defined by the tip of the coccyx posteriorly and both ischial tuberosities anterolaterally. The anterior border is the transverse perineal muscles and the posterolateral borders are the sa...
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Urogenital triangle

The urogenital triangle forms the anterior half of the diamond-shaped perineum. The triangle's corners are defined by the pubis symphysis anteriorly and the ischial tuberosities anterolaterally. The anterolateral borders are the ischiopubic rami and the posterior border is the transverse perinea...
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Verumontanum

The verumontanum or seminal colliculus is the rounded eminence of the urethral crest within the posterior wall of the mid prostatic urethra. The prostatic utricle opens into it in the midline and the two ejaculatory ducts open just distal to the utricle. On either side of it lie the prostatic si...
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Prostatic utricle

Prostatic utricle refers to Mullerian duct remnant in males which often manifests as a sac having a slit like orifice at the apex of verumontanum. This projects upward and backward into the substance of the prostate gland. Related pathology prostatic utricle cyst
Article

Hepatorenal syndrome

Hepatorenal syndrome refers to a form of acute kidney injury caused by changes in renal blood flow regulation due to liver pathology 1. Although the syndrome occurs mainly in cirrhotic livers it has been reported in patients with acute fulminant liver failure as well 1. Epidemiology The incide...
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Cushing syndrome

Cushing syndrome is due to the effects of excessive glucocorticoids, which may be exogenous or endogenous. Terminology Cushing disease refers to glucocorticoid excess solely due to an adrenocorticotropic hormone-secreting pituitary adenoma, while Cushing syndrome encompasses all etiologies of ...
Article

Testicular vasculitis

Testicular vasculitis can occur as either part of a systemic vasculitis or an isolated vasculitis involving only the testes with both having roughly equal prevalence.  Epidemiology The mean age of onset is approximately 40 years. Clinical presentation Symptoms can include a testicular mass w...
Article

Thimble bladder

Thimble bladder​ is a descriptive term for extreme fibrosis and contracture of the bladder walls, resulting in a tiny bladder. The term is usually used to describe changes from advanced genitourinary tuberculosis.
Article

Eosinophilic ureteritis

Eosinophilic ureteritis (and eosinophilic pyelouerteritis) is a rare cause of ureteral inflammation. The clinical presentation and imaging features are non-specific. Clinical presentation Patients are usually atopic or hypereosinophilic with peripheral eosinophilia. Associated with eosinophil...
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Testicular descent

Testicular descent occurs after the fourth month of fetal life. The testes are derived from the gonadal ridge medial to the mesonephric ridge of the intermediate cell mass. An elongated diverticulum of the peritoneal cavity, the processus vaginalis precedes the testis through the inguinal canal ...
Article

Vesicoureteric junction

The vesicoureteric junction (VUJ), also known as the ureterovesicular junction (UVJ) is the most distal portion of the ureter, at the point where it connects to the urinary bladder.  Terminology Traditionally it is called the vesicoureteric junction, however some anatomists, radiologists and o...
Article

Bladder impairment following spinal cord injury

A commonly used classification scheme used by urologists and rehabilitation specialists, described by Wein, classifies bladder impairment following spinal cord injury according to the level of injury: suprasacral (infrapontine) bladder - upper motor neuron lesion, releasing the sacral micturiti...
Article

Bladder neuroanatomy

Neuroanatomy of the bladder is complex, described here is a summary of the co-ordination of micturition. The bladder acts as a reservoir normally storing 400-500 mL of urine under low pressure (<15 cmH2O) before voluntary voiding can occur at a socially-convenient time. Bladder filling and empt...
Article

Cardiorenal syndrome

Cardiorenal syndrome is the association between cardiac failure and renal failure. Pathology Cardiorenal syndrome can manifest as a new onset of renal failure, or the aggravation of chronic renal failure within the ambit of an acute or chronic heart failure exacerbation. Sometimes it can occu...
Article

Fornix (disambiguation)

The term fornix (plural: fornices) is used for anatomical structures in multiple organ systems that all share an arch-like morphology: fornix (brain) fornix (eye) fornix (lacrimal) fornix (pharynx) fornix (renal) fornix (stomach) fornix (vagina) History and etymology Fornix is Latin for...
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Primary urethral cancer

Primary urethral cancer, in most cases a urethral carcinoma, is a rare urological malignancy. It can be divided in female urethral cancer and male urethral cancer. Epidemiology It has an incidence of 4.3 per million for males and 1.5 per million for females. It usually manifests in the fifth d...
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Fountain sign (acute idiopathic scrotal edema)

The fountain sign is a sonographic sign described in acute idiopathic scrotal edema (AISE). It refers to the appearance of the pattern of vascularity seen during transverse color Doppler sonography of the scrotum with both testes together 1. In this transverse view, in patients with AISE, marke...
Article

Inferior hypogastric plexus

The inferior hypogastric plexuses are bilateral autonomic nerve plexuses and ganglia located in the side walls of the pelvis. Summary location: the plexuses and ganglia lie in the pelvis within the extraperitoneal connective tissue of the pelvic sidewalls anterolateral to the mesorectum origi...
Article

Hypogastric nerves

The hypogastric nerves are paired nerve bundles that are part of the autonomic nervous system and located in the pelvis.  Summary location: pelvis origin: contain sympathetic fibers descending from the superior hypogastric plexus and parasympathetic fibers ascending from the inferior hypogast...
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Prostatic tuberculosis

Prostatic tuberculosis or tuberculous prostatitis is an uncommon extrapulmonary manifestation of Mycobacterium tuberculosis infection. This is sometimes classified a sub type of granulomatous prostatitis. Epidemiology Primary tuberculosis of the prostate is rare. Genitourinary tuberculosis con...
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Watermelon skin sign

The watermelon skin sign refers to diffuse, radiating, streaky areas of low signal intensity in prostate on T2WI in patients with prostatic tuberculosis 1.  
Article

Sexual differentiation

Sexual differentiation refers to the embryological development of male and female phenotypes. Unlike sexual genotype which is determined at the time of fertilisation, the male and female phenotypes do not begin to differentiate substantially until the seventh week of gestation. Males  Y chromo...
Article

Bartholin glands

The Bartholin glands, also known as the greater vestibular glands (or vulvovaginal glands) are paired pea-sized structures, lying on either side of the vaginal opening, and are homologous to the bulbourethral (Cowper) glands in the male. They form part of the vulva. Gross anatomy These glands ...
Article

Ischiocavernosus muscle

The ischiocavernosus muscles are one of the three main muscles found in the superficial perineal pouch along with the bulbospongiosus and superficial transverse perineal muscles.  Summary origin: ischial tuberosity and ramus insertion: males: corpus cavernosum females: clitoris blood suppl...
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Bulbospongiosus muscle

The bulbospongiosus muscle is found in the superficial perineal pouch which covers the bulb of the penis in males and the bulb of the vestibule in females. Summary origin: median raphe and perineal body insertion: dorsum of penis/clitoris, perineal membrane innervation: pudendal nerve arter...
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Height adjusted total kidney volume

Height adjusted total kidney volume (HtTKV) is used in patients with autosomal dominant polycystic kidney disease to predict the onset of renal insufficiency. There is strong evidence to indicate that baseline htTKV predicts, with good sensitivity and specificity, the development of renal insuff...
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Chronic prostatitis

Chronic prostatitis is a heterogeneous condition characterized by chronic inflammation of the prostate gland. Under the National Institutes of Health (NIH) classification system this may encompass chronic bacterial prostatitis chronic prostatitis and chronic pelvic pain syndrome (CPPS) Other...
Article

Pseudobladder

Pseudobladder refers to a pelvic cystic mass that simulates the urinary bladder. The location of the lesion should allow differentiation from the bladder but if doubt exists and clinical necessity arises, a delayed phase CT/MRI with excreted contrast or Foley catheter-administered retrograde co...
Article

Hereditary angiopathy with nephropathy, aneurysms, and muscle cramps syndrome

Hereditary angiopathy with nephropathy, aneurysms, and muscle cramps (HANAC) syndrome is an autosomal dominant monogenic COL4A1-related disorder. Epidemiology The exact prevalence is unknown. Clinical presentation The cardinal features of HANAC syndrome are helpfully described in the name of...
Article

COL4A1-related disorders

COL4A1-related disorders are a group of autosomal dominant disorders caused by a mutation in the COL4A1 gene. Epidemiology The exact prevalence is unknown, but the group of disorders is considered to be under-recognized, especially asymptomatic variants 1. Clinical presentation The clinical ...
Article

RASopathy

RASopathies are a class of developmental disorders caused by germline mutations in genes that encode for components or regulators of the Ras/mitogen-activated protein kinase (MAPK) pathway. Epidemiology As a group, RASopathies represent one of the most common malformation syndromes, with an in...
Article

Free/total PSA ratio

The free/total PSA ratio (%fPSA) is an additional new parameter used in assessing prostate specific antigen (PSA) levels. It is the simple mathematical ratio of the free PSA in the serum over the total PSA in the serum and is expressed as a dimensionless quantity 4. Some authors 1,2 recommend t...
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Management of Incidental Adrenal Masses: American College of Radiology white paper

The Management of Incidental Adrenal Masses revised in 2017 by the Adrenal Subcommittee of the Incidental Findings Committee of the American College of Radiology is an algorithm for the management of patients who are: adults (≥18 years old) asymptomatic for adrenal pathology referred for imag...
Article

Pseudohydronephrosis

Pseudohydronephrosis (plural: pseudohydronephroses) refers to normal anatomy or non-significant pathologies that may mimic hydronephrosis. There is usually fluid-density material within a dilated part of the urinary tract, but without other signs of obstruction such as retroperitoneal fat strand...
Article

Vasitis

Vasitis (plural: vasitides), also known as deferentitis (plural: deferentitides) or funiculitis 7, is an uncommon inflammatory disorder of the ductus (vas) deferens and spermatic cord. It is classified as either the generally asymptomatic vasitis nodosa (seen after vasectomy) or acutely painful ...
Article

Internal pudendal vein

The internal pudendal veins are the set of accompanying veins to the internal pudendal artery draining the perineal region to empty into the internal iliac vein. Gross Anatomy Tributaries inferior rectal veins males penile bulb and scrotum vein females clitoris and posterior labial vein ...
Article

Suprapubic cartilaginous cyst

Suprapubic cartilaginous cysts (SPCC) are rare cystic lesions arising from the symphysis pubis thought to be degenerative in origin. They have also been called retropubic or subpubic cysts. Epidemiology In the small number of cases in the literature, all bar one patient, have been female. The ...
Article

Surgical hemostatic material

Surgical hemostatic material is used to control bleeding intraoperatively and is hence frequently intentionally left in the operative bed, not to be confused with a gossypiboma which is caused by foreign material left behind in error. Its use has increased with the advent of minimally invasive s...
Article

Syphilis

Syphilis is the result of infection with the gram-negative spirochete Treponema pallidum, subspecies pallidum. It results in a heterogeneous spectrum of disease with many systems that can potentially be involved, which are discussed separately.  Epidemiology Despite the discovery of penicillin...
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Prostate-specific membrane antigen

Prostate-specific membrane antigen (PSMA), also known as glutamate carboxypeptidase II, is a type II transmembrane glycoprotein that has become an increasingly prominent imaging biomarker 1. PSMA has emerged as a useful target in PET imaging of prostate cancer, especially in the evaluation of sm...
Article

Superior adrenal artery

The superior adrenal (suprarenal) arteries are a group of arteries that together form one of the three adrenal arteries that supply the adrenal gland. There are usually numerous small arteries arising from the inferior phrenic artery. Gross anatomy Origin The superior suprarenal arteries aris...
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Prostatectomy

Prostatectomy is a common procedure to remove the prostate gland, most often for prostate adenocarcinoma, although occasionally performed for benign prostatic hyperplasia. When performed for tumor, it is only indicated for tumors that are confined to the prostate. There are two main types of pr...
Article

Cystinuria

Cystinuria is an inherited condition in which there is an excess of cystine in the urine. This excess predisposes to the formation of cysteine stones. Terminology "Cysteine" refers to the amino acid. "Cystine" is the oxidized dimer of the amino acid. Epidemiology It is thought to occur in 1:...
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Transrectal ultrasound

Transrectal ultrasound (TRUS) is a technique that is used most commonly to evaluate the prostate gland, including ultrasound-guided prostate biopsies depth of invasion of colon/rectal cancer (for staging purposes) It can also be used for guidance in placing a transrectal drain, or in rare pro...
Article

SpaceOAR

SpaceOAR is a technique in which a physical space is created between the prostate gland and rectum for electron beam radiotherapy targeted to the prostate gland in cases of prostate cancer.  OAR stands for "organ at risk", and in cases of prostate cancer radiotherapy treatment the rectum is the...
Article

Angular interface sign

The angular interface sign is used to characterize an exophytic renal mass, in which the exophytic renal mass has an angular interface with the renal parenchyma. In other words, the exophytic lesion has a tapered pyramidal contour or definite apex within the renal parenchyma. Due to its high se...
Article

Abdomen (PA prone view)

The PA prone radiograph is rarely performed and is often utilized when a patient is unable to lay supine. The projection is adequate for the examination of the abdominal cavity, however, not as practical for the renal structures due to magnification. Indications This view is useful in visualiz...
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Abdomen (oblique view)

AP oblique supine radiograph is a projection often used in barium studies and foreign body localization. Indications This view is normally performed when localizing foreign bodies or lines within the abdominal cavity. Additionally, the oblique abdominal series can be utilized in the assessment...
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Internal iliac lymph nodes

The internal iliac lymph nodes (often shortened to internal iliac nodes) are the lymph nodes found adjacent to the internal iliac artery and its branches and drain the regions supplied by these vessels. This encompasses a large area from the genitalia anteriorly, the psoas muscle posteriorly and...
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International prostate symptom score

The international prostate symptom score (IPSS) is an 8 question (7 symptom questions + 1 quality of life question) screening tool used in screening, diagnosis, symptom tracking, and aiding management of the symptoms associated with bladder emptying and is useful in those with benign prostatic h...
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Normal kidney size in adults

Normal kidney size in adults is closely related to height, but weight, body mass index (BMI), age, and ethnicity can also influence this 4. Kidney dimensions are typically measured sonographically and used to calculate estimated volume. MRI and CT measurements have been shown to generally corre...
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Normal kidney size (children)

The normal size of kidneys in children follows a growth curve and is closely related to the age and size of the child. Ethnic differences have also been shown, which may be an important consideration when interpreting measurements against a reference range 4. In infants normal average (normal r...
Article

Dorsal nerve of penis or clitoris

Dorsal nerve of penis or clitoris is one of the two terminal branches of the pudendal nerve that arises from nerve whilst in the pudendal canal. The other terminal branch is the perineal nerve.  Gross anatomy Course Entering the urogenital triangle of the perineum, the dorsal nerve of penis o...
Article

Inferior adrenal artery

The inferior adrenal (suprarenal) artery is one of three adrenal arteries that supplies the adrenal gland. Gross anatomy Origin Ipsilateral renal artery (usually before the terminal division of the renal artery) Location The course of the inferior suprarenal artery depends on its origin. Re...
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Cowper duct syringocele

Cowper duct syringocele refers to cystic dilatation of the main duct of the bulbourethral (Cowper) glands. Clinical presentation Affected patients may present with postvoid dribbling, urinary frequency, weak stream, or hematuria. Pathology Four groups of syringoceles have been described 2: ...
Article

Penile implant

Penile implants are surgically placed devices to assist with erectile dysfunction. The device is comprised of either two malleable rods or inflatable components inserted in the penile shaft with or without a pump/reservoir located in the scrotum or pelvis. Types semirigid or malleable penile p...
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IgA nephropathy

IgA nephropathy (also known as IgA nephritis or Berger disease) is a form of glomerulonephritis.  Epidemiology IgA nephropathy is considered the most common glomerulonephritis worldwide and is a leading cause of chronic kidney disease and renal failure. Pathology Primary IgA nephropathy is c...
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Bähren classification of left varicoceles

Bähren classification of left varicoceles: type 0: no evidence of venous reflux in internal spermatic vein (ISV) type I: single ISV with insufficient or absent valve type II: single ISV with ≥ 2 ostia to renal vein; may be branches to ascending lumbar/retroperitoneal veins IIa: insufficient ...
Article

Urinothorax

Urinothorax (plural: urinothoraces), also known as urothorax, is a rare cause of pleural effusion due to the accumulation of urine within the pleural space. Clinical presentation Patients present with varying degrees of respiratory distress depending on the amount of fluid that has accumulated...
Article

Adrenal cyst

Adrenal cysts are rare lesions that are usually found incidentally on imaging performed for other reasons.  Epidemiology Adrenal cysts are reported to be rare with an incidence of <1% 1.  Clinical presentation Patients can present with pain or swelling, although a significant portion (~40%) ...
Article

Penis

The penis (plural: penises or, rarely, penes) is the external midline urinary and reproductive structure of the male urogenital system. Please note that as per standard anatomic position, the penis is described with the flaccid phallus against the anterior abdominal wall, the dorsal surface con...
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Pampiniform plexus

The pampiniform plexus (plural: plexuses) is the venous network of approximately 10 veins draining the testis and epididymis. The network surrounds the testicular artery in the spermatic cord and lies anterior to the ductus deferens. Each network coalesces to form the testicular (internal sperma...
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Cremasteric artery

The cremasteric artery is a small branch of the inferior epigastric artery that enters the deep inguinal ring of the inguinal canal and supplies the layers of the spermatic cord and also the skin of the scrotum, including the cremaster muscle. History and etymology The word "cremaster" derives...
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Cremaster muscle

The cremaster muscle is the thin fascial muscle of the spermatic cord made of skeletal muscle. It is also referred to as cremaster fascia or simply the cremaster. Its action is to retract the testes, important in thermoregulation and spermatogenesis.  Gross anatomy It is derived from the inter...
Article

Dartos muscle

The dartos muscle is the thin rugated fascial muscle of the scrotum made of smooth muscle. Hence it is also referred to as dartos fascia or simply the dartos. It forms from the subcutaneous tissue of the scrotum and base of the penis and attaches to the scrotal skin and fibrous midline septum be...
Article

Rhabdomyosarcoma (genitourinary tract)

Rhabdomyosarcomas of the genitourinary tract are uncommon tumors occurring in pelvic organs. It is a disease nearly exclusive to the pediatric population.  For a general discussion of this type of tumor, please refer to the article on rhabdomyosarcomas. Epidemiology The peak incidence of tumo...
Article

Hemorrhage exclusion sign (prostate)

The hemorrhage exclusion sign can be a useful MRI finding following prostate biopsy. Pathology The normal prostate produces high concentrations of citrate, which among other properties, acts as an anticoagulant 1. As tumor cells are dysfunctional, they will produce lower levels of citrate than...
Article

Gonadal artery

The gonadal arteries are the paired primary vascular supply to the gonads: ovaries in the female and the testes in the male. As the anatomy of the gonadal arteries differs substantially between the sexes, they are covered separately: ovarian arteries testicular arteries
Article

Ileovesicostomy

Ileovesicostomy (also known as "cutaneous ileocystostomy", "ileal chimney", or "bladder chimney") is an uncommon urologic diversion in which a loop of small bowel is anastomosed/augmented to the dome of the bladder. This loop of bowel then exits through a urostomy. The diversion is not continent...
Article

Calyceal diverticulum

Calyceal diverticula, also known as pyelocalyceal diverticula, are outpouchings of the renal calyx or pelvis into the renal cortex. These diverticula are lined with transitional cell epithelium. Epidemiology Relatively uncommon, historically seen in 0.21% to 0.60% of intravenous urograms (IVU)...
Article

Renal forniceal rupture

Renal forniceal or calyceal rupture is the radiographic finding of a perirenal urine leak as a result of ureteric obstruction. Gross anatomy The renal fornices are the thin pointed projections, arising from the lateral aspects of each minor calyx, and extending a short distance into the renal ...
Article

Adrenal insufficiency

Adrenal insufficiency refers to inadequate secretion of corticosteroids (glucocorticoids and mineralocorticoids). Terminology It may occur from partial or complete destruction of the adrenal cortex, in which case it is termed primary adrenal insufficiency (also known as Addison disease). Secon...
Article

Prostate cancer (summary)

This is a basic article for medical students and other non-radiologists Prostate cancer, also called carcinoma of the prostate or prostate carcinoma, is the commonest malignant tumor in men. It is primarily a disease of old age and many men remain asymptomatic.  Reference article This is a su...
Article

Renal tract calculi (summary)

This is a basic article for medical students and other non-radiologists Renal tract calculi, also known as urolithiasis, refer to renal stone formation at any point along the renal tract (from kidneys to bladder and urethra). Reference article This is a summary article; read more in our artic...
Article

Filariasis

Filariasis refers to infection with nematodes (roundworms) of the family Filarioidea. There are three species of these thread-like filarial worms: Wuchereria bancrofti: responsible for 90% of cases Brugia malayi: causes most of the remainder of cases Brugia timori: an uncommon cause It can a...
Article

Anatomy curriculum

The anatomy curriculum is one of our curriculum articles and aims to be a collection of articles that represent the core anatomy knowledge for radiologists and imaging specialists. General anatomy Neuroanatomy Head and neck anatomy Thoracic anatomy Abdominal and pelvic anatomy Spinal anat...
Article

Superficial perineal pouch

The superficial perineal pouch is an anatomic space below the perineal membrane in the urogenital triangle of the perineum. Gross anatomy The superficial perineal pouch is inferior (superficial) to the perineal membrane in the urogenital triangle, anterior to the transverse line between the is...
Article

Deep perineal pouch

The deep perineal pouch is an anatomic space superior (deep) to the perineal membrane in the urogenital triangle of the perineum, anterior to the transverse line between the ischial tuberosities. Gross anatomy The deep perineal pouch is above (deep to) the perineal membrane in the urogenital t...
Article

Perineum

The perineum is a diamond-shaped region below the pelvic diaphragm and is divided by an imaginary line drawn between the ischial tuberosities into anteriorly the urogenital triangle and posteriorly the anal triangle. Gross anatomy The perineum is bounded by the pubis anteriorly, the ischial tu...
Article

Rectovesical pouch

Rectovesical pouch is the forward reflection of the peritoneum from the middle third of the rectum to the upper part of the bladder in males. Gross anatomy The rectovesical pouch is the lowest part of the peritoneal cavity and usually contains loops of small bowel or sigmoid colon. It is 7.5 c...
Article

Renal arteriovenous fistula

Renal arteriovenous fistulae (AVFs) are anomalous direct communications between arteries and veins in the kidney, which may be confused with a renal arteriovenous malformation (rAVM). Epidemiology The incidence of renal AVF is variable, estimated at 0.3-19% in native kidneys and 6-8% in renal ...
Article

Dynamic contrast enhancement in prostate cancer

Dynamic contrast enhancement (DCE) MRI is a component of a multiparametric MRI approach for evaluating the extent of primary and recurrent prostate cancer.  Protocol and equipment Typically 3D T1-weighted fast spoiled gradient-echo MRI sequences are used to repeatedly image a volume of interes...
Article

Solitary filling defect of the ureter (differential)

Solitary filling defect within a ureter, as seen on conventional IVU or CT IVU has some differentials, including: within the lumen calculus sloughed papilla blood clot benign polyp within the wall transitional cell carcinoma (TCC) tuberculosis  metastasis endometriosis When multiple ...

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