Hypertrophied column of Bertin

Case contributed by Dr Prashant Gupta

Presentation

Ultrasound showed a renal "mass"

Patient Data

Age: 51
Gender: Female
Modality: CT

Note that the hypertrophied column is seen to enhance just like normal parenchyma in all phases, there is no mass effect.

Case Discussion

This is a common cause of renal "pseudomass". on ultrasound the column spits the sinus echoes.

CECT is often done to resolve the issue. A hypertrophied column shows enhancement that is the same as normal cortex. It merges with the cortex and causes no contour deformity. These findings help to differentiate it from other pseudomasses such as fetal lobulation and a dromedary hump.

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Case Information

rID: 17401
Case created: 10th Apr 2012
Last edited: 15th Dec 2015
System: Urogenital
Tag: kidney
Inclusion in quiz mode: Included

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