Dr.BAHRİ YILDIZ

BÖBREK ULTRASONOGRAFİSİ

ÜZERİNE SEMİNERLER

Lectures on Diagnostic Ürosonography

drbahriyildiz

The left kidney is also normal in size and demonstrates extensive, curvilinear parenchymal calcification with posterior shadowing in the region of the medulla.

The right kidney is normal in size, but exhibits increased echogenicity of the medullary pyramids. No obvious acoustic shadowing is noted from the echogenic foci

A cystic structure is seen in the upper pole of the right kidney. It contains highly echogenic material that shows posterior shadowing. The rest of the kidney and the visualized liver appear normal.

Normal Kidneys.The right kidney has been scanned from an antero lateral approach through the liver. There is good differentiation of the renal capsule,cortex, medulla, and renal sinus complex. The longitudinal plane.

The transverse plane.

The infant kidney,showing the hyperechoic cortex, large pyramids, and lack of renal sinus fat,which is typical of the infant kidney

Ureteric orifices.

An atomic diagram of the renal arteries and veins.

Upper ureter.

Lower ureter

The normal bladder

Normal bladder

The bladder base is well demonstrated transrectally.

Doktor bu nedir bu ?

Hypertrophied column of Bertin. (adamlar radyoizotop görünteleme ile bu tanıyı doğrulamışlar peki nedir bertin Hatırlayan varmı ?

Echogenic renalsinus fat. Some areas of the renalsinus fat are hyperechoic and cast shadows. Calculi cast denser shadows, but differentiation may be difficult on ultrasound alone.

Small end-stage kidney

Hypoechoic renal cell carcinoma

Oncocytoma. A typically smooth hypoechoic tumor is shown

Renal cell carcinoma. This tumor shows a mixed, predominantly hyper echoic pattern

Angiomyolipoma

Angiomyolipoma confirmed by ct

Small angiomyolipoma. Small angiomyolipmas are often of an even,high echo density

Ve şimdi buna taş diyeceksiniz öyle mi?

Renal cell carcinoma with calcification. Dense hyperechoic areas of calcification are seen with in the tumor.

Renal lymphoma.A large hypoechoic tumor deposit is seen in

Infiltrated kidney(lymphoma). The kidney is enlarged and the internal architecture is destroyed.

Wilms’ tumor. The tumor is of a mixed echo density, well circumscribed, with a hypoechoic rim of compressed renal tissue

Renal cell carcinoma.

Malignant rhabdoid tumor.

Multiple angiomyolipomas

Nephroblastomatosis. Hypoechoic areas are seen displacing the renal sinus complex

Simple cortical cyst.

Parapelvic cyst

Hydatid cyst. The cyst is typically multiloculated, with echogenic daughter cysts

Renalmalakoplakia. Multiple hypoechoic areas are seen in an enlarged kidney.

Autosomal dominant polycystic kidney disease.The kidney is enlarged and full of cysts of varying sizes

Complicated autosomal dominant polycystic kidney disease. Hemorrhage into cysts is shown

Complicated autosomal dominant polycystic kidney disease. (A and B) Hemorrhage into cysts is shown

Acquired cystic disease (dialysis cysts). In this end stage kidney, small cysts are seen near the periphery

Glomerulocystic disease. The kidneys are enlarged with multiple cysts of varying size.

Medullary sponge kidney. In this 9-year-old patient,increased echo density is seen in the medullary pyramids from multiple small cysts

Juvenil enephronophthisis. Several cysts are visible at the cortico medullary junction

Duplex kidney

Acute tubularnecrosis. There is renal enlargement and marked enlargement of the medullary pyramids

Cortical scarring

Global scarring.There is thinning of the whole cortex,resulting in reduction of renal size

Renal parenchymal disease. Type 1increase in cortical echodensity. The cortex is hyperechoic; the medullary pyramids are normal but appear prominent because of the cortical changes

increase in renal echo density. Both cortex and medulla are hyper echoic so that the medullary pyramids are not seen as separate structures.

Nephrocalcinosis.Early nephrocalcinosis causes an echo dense rim around the pyramids.

Focal pyelonephritis (lobar nephronia

Focal nephronia may progress, as in this case, to arenal abscess

Oxalosis. The kidney is typically hyperechoic in this condition

Nephrocalcinosis.In this infant

Hydronephrosis and hydroureter

Hydro nephrosis and hydro ureter

Papillary necrosis

Uroepithelial thickening. The thickened uroepithelium, in this case caused by an infection with Candida

albicans, is seen in the slightly dilated renal pelvis.

Uroepithelial tumor

A tumor in a nondistended system

Perinephric abscess.

Megaureter. The ureter is so tortuous thatit appears as multiple cyst like structures as it crosses the ultrasound plane

Uroepithelial tumors. Tumor is shown in the dilated renal pelvis (A) and at the pelviureteric junction

Eseri ortada kendisi ?

Ureterocele.Typical balloon-like dilatations are seen projecting into the bladder

Schizosomiasis.The typical bladder wall thickening is shown in this patient who presented with renal failure and bilateral hydronephros is caused by ureteric strictures

A thick-walled bladder

Tuberculosis. The bladder is thick walled and of small volume. The patient felt that the bladder was full at the time of this scan

Bladder tumor

A small polypoidal tumor with a narrow base is shown.

A massive tumor involving most of the bladder is seen.

Rhabdomyosarcoma. A large tumor is seen at the bladder base of this 12-year-old boy

Fungal infection

Typical fungal balls are seen in the bladder

Another case with fungal balls in the renal collecting system.

Bladder diverticulum

Calculus in a diverticulum

Su testisine benzeyen hilkat garibesi?

Tumor in a diverticulum. The lesion shown is tumor surrounded by blood clot.

Mullerian duct cyst. A large cyst is seen posterior to the bladder, with no communication with the bladder.

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Pyuria. A fluid filled level is seen caused by layered pus

Residual bladder volume measurement