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35Increased Renal Cortical
Echogenicity with Preservation of
Medullary Sonolucency*
CLINICAL IMAGAGING
AN ATLAS OF DIFFERENTIAL DAIGNOSIS
EISENBERG
DR. Muhammad Bin Zulfiqar
PGR-FCPS III SIMS/SHL
• Fig GU 35-1 Chronic renal failure. Parasagittal
sonogram of the right kidney (RK) shows that the
echogenicity of renal cortical tissue has increased
to such an extent that it is now greater than that
of the hepatic parenchyma (L). The renal
medullary pyramids (P) are clearly visible in the
right kidney. (D, diaphragm; H, head.)2
• Fig GU 35-2 Renal transplant rejection. (A)
Sagittal supine sonogram shows enlargement
of the renal transplant with increased
sonolucency of the medullary pyramids (black
arrows) and thinning of the central echogenic
hilar structures (white arrow). (B) Another
patient with markedly dilated medullary
pyramids of an enlarged renal allograft.40
35 increased renal cortical echogenicity with preservation of
35 increased renal cortical echogenicity with preservation of
35 increased renal cortical echogenicity with preservation of

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35 increased renal cortical echogenicity with preservation of

  • 1. 35Increased Renal Cortical Echogenicity with Preservation of Medullary Sonolucency*
  • 2. CLINICAL IMAGAGING AN ATLAS OF DIFFERENTIAL DAIGNOSIS EISENBERG DR. Muhammad Bin Zulfiqar PGR-FCPS III SIMS/SHL
  • 3. • Fig GU 35-1 Chronic renal failure. Parasagittal sonogram of the right kidney (RK) shows that the echogenicity of renal cortical tissue has increased to such an extent that it is now greater than that of the hepatic parenchyma (L). The renal medullary pyramids (P) are clearly visible in the right kidney. (D, diaphragm; H, head.)2
  • 4. • Fig GU 35-2 Renal transplant rejection. (A) Sagittal supine sonogram shows enlargement of the renal transplant with increased sonolucency of the medullary pyramids (black arrows) and thinning of the central echogenic hilar structures (white arrow). (B) Another patient with markedly dilated medullary pyramids of an enlarged renal allograft.40