Items tagged “kidney”

Renal angiomyolipomas (AML) are a type of benign renal neoplasm encountered both sporadically and as part of a phakomatosis, most commonly tuberous sclerosis. They are considered one of a number of tumors with perivascular epithelioid cellular differentiation (PEComas) and are composed of vascul...

The Bosniak classification system of renal cystic masses divides renal cystic masses into five categories based on imaging characteristics on contrast-enhanced CT. It helps predict a risk of malignancy and suggests either follow up or treatment. Usage The Bosniak classification is widely used ...

Horseshoe kidneys are the most common type of renal fusion anomaly. They render the kidneys susceptible to trauma and are an independent risk factor for the development of renal calculi and transitional cell carcinoma of the renal pelvis. Epidemiology Horseshoe kidneys are found in approximate...

Medullary sponge kidney is a sporadic condition where the medullary and papillary portions of the collecting ducts are dysplastic and dilated and in most cases develop medullary nephrocalcinosis.  Epidemiology The incidence of medullary sponge kidney is estimated at ~1:5000. Associations Ehl...

Multicystic dysplastic kidney (MCDK) is a type of non-heritable pediatric cystic renal disease. It results in multiple cysts being formed in utero in the affected kidney. Epidemiology Unilateral incidence is estimated at 1:2500-4000. There may be a predisposition for the left kidney, a slightl...

Nephrocalcinosis, previously known as Anderson-Carr kidney or Albright calcinosis, refers to the deposition of calcium salts in the parenchyma of the kidney. It is divided into several types, with differing etiologies, based on the distribution: medullary nephrocalcinosis: 95% cortical nephroc...

Renal oncocytomas are relatively benign renal tumors. The main clinical importance of this lesion is the difficulty in preoperatively distinguishing it from renal cell carcinomas, as epidemiology, presentation, imaging and even histology can be very similar.  Epidemiology Renal oncocytomas acc...

The American Association for the Surgery of Trauma (AAST) renal injury scale, most recently updated in 2018, is the most widely used grading system for renal trauma. The 2018 update incorporates "vascular injury" (i.e. pseudoaneurysm, arteriovenous fistula) into the imaging criteria for viscera...

Columns of Bertin represent the extension of renal cortical tissue which separates the pyramids, and as such are normal structures. They become of radiographic importance when they are unusually enlarged and may be mistaken for a renal mass (renal pseudotumor). Nomenclature of such enlarged col...

Vesicoureteric reflux (VUR) grading divides vesicoureteric reflux (VUR) according to the height of reflux up the ureters and degree of dilatation of the ureters: grade 1: reflux limited to the ureter grade 2: reflux up to the renal pelvis grade 3: mild dilatation of ureter and pe...

Wilms tumor staging is largely anatomical and relates to the invasion and spread of the tumor. Where there is invasion or metastasis, prognosis is poorer. Wilms tumor is one of the more common childhood malignancies. stage I confined to kidney complete resection possible stage II local spre...

The TNM system may be used for staging of renal cell carcinoma. An older but still widely used system for staging of renal cell carcinoma in some practices is the Robson staging system. TNM staging (8th edition) Primary tumor staging (T) Tx: tumor cannot be assessed T0: tumor not seen T1 T...

Cystic nephromas, previously known as multilocular cystic nephromas, are rare benign renal neoplasms classically occurring in adult females in the 4th and 5th decades. As of the 2016 WHO classification, they are considered distinct from pediatric cystic nephromas which have associated DICER1 gen...

Autosomal recessive polycystic kidney disease (ARPKD) is one of many pediatric cystic renal diseases. On imaging, it usually presents on ultrasound with enlarged echogenic kidneys with multiple small cysts. Liver involvement with coarse echotexture, biliary tract cystic changes, and portal hype...

A duplex collecting system, or duplicated collecting system, is one of the most common congenital renal tract abnormalities. It is characterized by an incomplete fusion of upper and lower pole moieties resulting in a variety of complete or incomplete duplications of the collecting system. While ...

The anterior pararenal space is the portion of the retroperitoneum that lies between the posterior surface of the parietal peritoneum and the anterior reflection of the renal fascia. Gross anatomy It contains the retroperitoneal portion of the duodenum (distal D1 to D3), the pancreas and retro...