Presentation
Patient with a history of pain when urinating, associated with multiple urinary tract infections.
Patient Data
Age: 80 years
Gender: Male
From the case:
Adult polycystic kidney disease
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Both kidneys are enlarged with loss of normal architecture, due to the evidence of multiple cysts that cover the entire kidney.
Case Discussion
On ultrasound, the kidneys are usually large and asymmetric, with multiple cysts all over the parenchyma, both in the cortex and in the medulla. Cysts complicated by hemorrhage or infections present with internal echoes, thickening of the wall, and occasionally residual-fluid levels.
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