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28Anechoic (Cystic) Renal
Masses
CLINICAL IMAGAGING
AN ATLAS OF DIFFERENTIAL DAIGNOSIS
EISENBERG
DR. Muhammad Bin Zulfiqar
PGR-FCPS III SIMS/SHL
Fig GU 28-1 Simple renal cysts. Anechoic fluid-filled masses (C)
with strongly enhanced posterior walls.
• Fig GU 28-2 Adult polycystic kidney disease.
(A) Parasagittal sonogram of the right kidney
(PK) shows a random distribution of multiple
cysts that vary dramatically in size. The normal
reniform contour is maintained. (B)
Parasagittal sonogram in a young,
asymptomatic member of the family shows
multiple cysts (CR, CL) in the right kidney (R)
and liver (L). (D, diaphragm; H, head.)2
Fig GU 28-3 Parapelvic cyst (C). Fluid-filled collection that
displaces but does not separate the pelvocalyceal echo complex.
• Fig GU 28-4 Hydronephrosis. Obstructed renal
pelvis and calyces produce the sonographic
pattern of multiple communicating cystic
structures (arrows).25
• Fig GU 28-5 Multicystic dysplastic kidney.
Sagittal sonogram demonstrates the cystic
kidney (K). Note the absence of
communication between the cystic
structures.27
Fig GU 28-6 Hematoma. Extensive anechoic collection (H) about a renal
transplant.
28 anechoic (cystic) renal masses

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28 anechoic (cystic) renal masses

  • 2. CLINICAL IMAGAGING AN ATLAS OF DIFFERENTIAL DAIGNOSIS EISENBERG DR. Muhammad Bin Zulfiqar PGR-FCPS III SIMS/SHL
  • 3. Fig GU 28-1 Simple renal cysts. Anechoic fluid-filled masses (C) with strongly enhanced posterior walls.
  • 4. • Fig GU 28-2 Adult polycystic kidney disease. (A) Parasagittal sonogram of the right kidney (PK) shows a random distribution of multiple cysts that vary dramatically in size. The normal reniform contour is maintained. (B) Parasagittal sonogram in a young, asymptomatic member of the family shows multiple cysts (CR, CL) in the right kidney (R) and liver (L). (D, diaphragm; H, head.)2
  • 5. Fig GU 28-3 Parapelvic cyst (C). Fluid-filled collection that displaces but does not separate the pelvocalyceal echo complex.
  • 6. • Fig GU 28-4 Hydronephrosis. Obstructed renal pelvis and calyces produce the sonographic pattern of multiple communicating cystic structures (arrows).25
  • 7. • Fig GU 28-5 Multicystic dysplastic kidney. Sagittal sonogram demonstrates the cystic kidney (K). Note the absence of communication between the cystic structures.27
  • 8. Fig GU 28-6 Hematoma. Extensive anechoic collection (H) about a renal transplant.