Medullary sponge kidney

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Urinary tract infection and chronic back pain. CT was done to rule out urolithiasis.

Patient Data

Age: 55 years
Gender: Female

CT IVP

ct

CT IVP demonstrates numerous small calcifications located in the renal calculi which are non-obstructing and measure up to 3mm on the right and 4mm on the left. Urographic phase imaging demonstrates dilated renal tubules in which these non-obstructing calculi are located.

Case Discussion

Overall, the appearances of this case are most in keeping with medullary sponge kidney, a relatively common but often under-diagnosed condition. 

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