Böbrek ultrasonografisi

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Böbrek ultrasonografisi

  1. 1. Dr.BAHRİ YILDIZ BÖBREK ULTRASONOGRAFİSİ ÜZERİNE SEMİNERLER
  2. 2. Lectures on Diagnostic Ürosonography drbahriyildiz
  3. 4. The left kidney is also normal in size and demonstrates extensive, curvilinear parenchymal calcification with posterior shadowing in the region of the medulla.
  4. 6. 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
  5. 7. 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.
  6. 8. 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.
  7. 9. The transverse plane.
  8. 11. The infant kidney,showing the hyperechoic cortex, large pyramids, and lack of renal sinus fat,which is typical of the infant kidney
  9. 12. Ureteric orifices.
  10. 13. An atomic diagram of the renal arteries and veins.
  11. 14. Upper ureter.
  12. 15. Lower ureter
  13. 16. The normal bladder
  14. 17. Normal bladder
  15. 18. The bladder base is well demonstrated transrectally.
  16. 19. Doktor bu nedir bu ?
  17. 20. Hypertrophied column of Bertin. (adamlar radyoizotop görünteleme ile bu tanıyı doğrulamışlar peki nedir bertin Hatırlayan varmı ?
  18. 22. 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.
  19. 23. Small end-stage kidney
  20. 25. Hypoechoic renal cell carcinoma
  21. 26. Oncocytoma. A typically smooth hypoechoic tumor is shown
  22. 27. Renal cell carcinoma. This tumor shows a mixed, predominantly hyper echoic pattern
  23. 28. Angiomyolipoma
  24. 29. Angiomyolipoma confirmed by ct
  25. 30. Small angiomyolipoma. Small angiomyolipmas are often of an even,high echo density
  26. 31. Ve şimdi buna taş diyeceksiniz öyle mi?
  27. 32. Renal cell carcinoma with calcification. Dense hyperechoic areas of calcification are seen with in the tumor.
  28. 33. Renal lymphoma.A large hypoechoic tumor deposit is seen in
  29. 34. Infiltrated kidney(lymphoma). The kidney is enlarged and the internal architecture is destroyed.
  30. 35. Wilms’ tumor. The tumor is of a mixed echo density, well circumscribed, with a hypoechoic rim of compressed renal tissue
  31. 36. Renal cell carcinoma.
  32. 37. Malignant rhabdoid tumor.
  33. 38. Multiple angiomyolipomas
  34. 39. Nephroblastomatosis. Hypoechoic areas are seen displacing the renal sinus complex
  35. 40. Simple cortical cyst.
  36. 41. Parapelvic cyst
  37. 42. Hydatid cyst. The cyst is typically multiloculated, with echogenic daughter cysts
  38. 43. Renalmalakoplakia. Multiple hypoechoic areas are seen in an enlarged kidney.
  39. 44. Autosomal dominant polycystic kidney disease. The kidney is enlarged and full of cysts of varying sizes
  40. 45. Complicated autosomal dominant polycystic kidney disease. Hemorrhage into cysts is shown
  41. 46. Complicated autosomal dominant polycystic kidney disease. (A and B) Hemorrhage into cysts is shown
  42. 47. Acquired cystic disease (dialysis cysts). In this end stage kidney, small cysts are seen near the periphery
  43. 48. Glomerulocystic disease. The kidneys are enlarged with multiple cysts of varying size.
  44. 49. Medullary sponge kidney. In this 9-year-old patient, increased echo density is seen in the medullary pyramids from multiple small cysts
  45. 50. Juvenil enephronophthisis. Several cysts are visible at the cortico medullary junction
  46. 51. Duplex kidney
  47. 52. Acute tubularnecrosis. There is renal enlargement and marked enlargement of the medullary pyramids
  48. 53. Cortical scarring
  49. 54. Global scarring.There is thinning of the whole cortex,resulting in reduction of renal size
  50. 55. 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
  51. 56. increase in renal echo density. Both cortex and medulla are hyper echoic so that the medullary pyramids are not seen as separate structures.
  52. 58. Nephrocalcinosis.Early nephrocalcinosis causes an echo dense rim around the pyramids.
  53. 59. Focal pyelonephritis (lobar nephronia
  54. 60. Focal nephronia may progress, as in this case, to arenal abscess
  55. 61. Oxalosis. The kidney is typically hyperechoic in this condition
  56. 62. Nephrocalcinosis.In this infant
  57. 63. Hydronephrosis and hydroureter
  58. 64. Hydro nephrosis and hydro ureter
  59. 65. Papillary necrosis
  60. 66. Uroepithelial thickening. The thickened uroepithelium, in this case caused by an infection with Candida albicans, is seen in the slightly dilated renal pelvis.
  61. 67. Uroepithelial tumor
  62. 68. A tumor in a nondistended system
  63. 69. Perinephric abscess.
  64. 70. Megaureter. The ureter is so tortuous that it appears as multiple cyst like structures as it crosses the ultrasound plane
  65. 71. Uroepithelial tumors. Tumor is shown in the dilated renal pelvis (A) and at the pelviureteric junction
  66. 72. Eseri ortada kendisi ?
  67. 73. Ureterocele.Typical balloon-like dilatations are seen projecting into the bladder
  68. 74. Schizosomiasis.The typical bladder wall thickening is shown in this patient who presented with renal failure and bilateral hydronephros is caused by ureteric strictures
  69. 75. A thick-walled bladder
  70. 76. Tuberculosis. The bladder is thick walled and of small volume. The patient felt that the bladder was full at the time of this scan
  71. 77. Bladder tumor
  72. 78. A small polypoidal tumor with a narrow base is shown.
  73. 79. A massive tumor involving most of the bladder is seen.
  74. 80. Rhabdomyosarcoma. A large tumor is seen at the bladder base of this 12-year-old boy
  75. 81. Fungal infection
  76. 82. Typical fungal balls are seen in the bladder
  77. 83. Another case with fungal balls in the renal collecting system.
  78. 84. Bladder diverticulum
  79. 85. Calculus in a diverticulum
  80. 86. Su testisine benzeyen hilkat garibesi?
  81. 87. Tumor in a diverticulum. The lesion shown is tumor surrounded by blood clot.
  82. 88. Mullerian duct cyst. A large cyst is seen posterior to the bladder, with no communication with the bladder.
  83. 89. ?
  84. 90. Pyuria. A fluid filled level is seen caused by layered pus
  85. 91. Residual bladder volume measurement

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