Signet ring sign (renal papillary necrosis)

Last revised by Henry Knipe on 16 Nov 2023

The signet ring sign has been described as one of the possible appearances of the papillary excavation seen in renal papillary necrosis on intravenous urography or retrograde urography 1. The contrast fills a circumferential necrotic cavity around the tip of the necrotic papilla.

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