2. CLINICAL IMAGAGING
AN ATLAS OF DIFFERENTIAL DAIGNOSIS
EISENBERG
DR. Muhammad Bin Zulfiqar
PGR-FCPS III SIMS/SHL
3. • Fig GU 20-1 Complete duplication with ureteral obstruction. (A)
Excretory urogram demonstrates dilatation and lateral
displacement of the right ureter. Ureteral duplication was not
suspected. (B) A delayed film after a voiding cystogram
demonstrates contrast material filling a dilated and tortuous ureter
to the upper segment. This ureter, which was not seen on the
excretory urogram, has laterally displaced the ureter to the lower
segment.20
4. • Fig GU 20-2 Ileal conduit stenosis. Drainage film from an ileal
loopogram shows bilateral hydronephrosis, right lower pole
parenchymal scarring (arrow), and failure of the conduit to empty.21
5. Fig GU 20-3 Vesicoureteral reflux. Voiding cystogram in a young
girl shows bilateral reflux with gross dilatation of the upper
tracts.
6. • Fig GU 20-4 Prune belly syndrome. Pronounced
bulging of the flanks (open arrows). The patient
had multiple genitourinary anomalies, including
hydronephrosis of the right collecting system
(small arrow).