إذا جان حجم الkidney كبران بس الي بداخل الكلية المكونات طبيعي ؟
Pylonephritis

إذا جان حجم الكلية طبيعي بس الcollecting system (pelvicalcyeal system) صايرله echoing and dilating هاي معناها عده ؟
Pyonephritis

إذا متعالجوا وخاصة الأخير حيسوي
renal abscess
فحنشوفه على شكل؟
Wall thickening and georota fascia thickening
Central necrotic non enhancing
Air foci in perinephric abscess case❗️

-dilated pelvi-calyceal / cortical loss or perinephric abscess /
مضاعفات
dilation of collecting
system
-perinephric abscess

Pt come with high fever & costovertebral angle pain & nausea ;vomiting
By investigation found klebsiella & US enlarge kidney & loss of corticomedullary differentiation & IVP delay excretion &CT enlargement area & decreased perfusion
& he have Abscess & scarring dx?

Pt come with Renocolic fistula by imaging found hypodense area well defined & thick enhancing wall necrotic non-enhanced Center & thickening of gerotas fascia


شنو السبب

Patient have psoas abscess by imaging found hypodense area surrounded the kidney & kidney dilated with mild hydronephrosis
What the most common cause

Pt known case of DM sufferings strong, persistent urge to urinate. & Pain or a burning feeling when urinating. For less than 2wk

Imaging reduced bladder volume & emphysematous
DX & cause

احس حلة غلط والجواب فقط A بعد مادري

40 yrs Have blood in the urine or passing urine frequently or during the night, change in urine colour – dark, rusty or brown & a lump in the abdomen & rapid, unexplained weight loss by imaging
Us=hyperechoic / isoechoic with central necrosis
Colour Doppler = IV thrombus
CT= large distort kidney & necrosis or calcification
DX?

Renal cell carcinoma
TCC
Angiomyolopoma
Oncocytoma
Lymphoma

Adult have Blood in the urine
& Pain or burning with urination
& Back pain
& Unexplained weight loss
By imaging

IVP /CT urography = irregular filling defect in renal pelvis

US= isoechoic solid mass with obliteration of renal pelvis

CT=central location
-preserved renal contour
Poor contrast enhancement

1-Renal cell carcinoma
2-TCC =Transitional cell cancer of the renal pelvis and ureter



3-Angiomyolopoma
Oncocytoma
Lymphoma

Angiomyolipoma
-benign
Commonest benign in adult
Lipoma=fat
US/circumscribed highly reflective mass بيضاء
CT= fat density +No calcification
راح تبين سوداء هنا
لان بس haemorrhage & calcification يطلع ابيض بل CT

MRI = high signal on T2 loss signal in STIR