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Normal split bolus technique CT study

Case contributed by Ian Bickle
Diagnosis not applicable

Presentation

Persistent microscopic hematuria.

Patient Data

Age: 35 years
Gender: Female

Both kidneys concentrate and excrete normally.

Normal appearances of the collecting systems, ureters and bladder.

Normal appearances of the solid organs of the upper abdomen.

Case Discussion

The split bolus technique is a CT imaging investigation used in patients with hematuria aiming to put together, in a single image acquisition, both the nephrographic and renal excretory phases and thus reducing the radiation dose of the study. It is a CT protocol adopted for some institutions for assessing a patient with hematuria.

This is a normal example of the whole renal tract illustrated.  Often the ureters will not both be filled in their entirety with contrast.

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