Renal tuberculosis

Case contributed by Hani M. Al Salam
Diagnosis almost certain

Presentation

Hematuria.

Patient Data

Age: 60 years
Gender: Male

DMSA

Nuclear medicine
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Info

Decreased uptake from the right kidney compared with the left kidney

ultrasound
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The right kidney has multiple hypoechoic rounded lesions with some calcification. However, the renal contour is preserved.

ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+
arterial phase
This study is a stack
Axial C+ portal
venous phase
Coronal C+
arterial phase
Sagittal C+
arterial phase
3D volume
rendered
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The upper and lower poles of the right kidney are largely replaced by a well-defined hypodense lesions with small specks of calcification, the overall contour of the right kidney is preserved except for some distortion seen at the upper pole.

Case Discussion

Path proven renal tuberculosis.
 

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