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Tuberculoma--localized caseating lesion, most commonly upper pole. nidus of infection enlarges and 
ruptures into a neighboring calyx, discharging necrotic caseous material--distorting the calyx---smudged 
papillae due to surface irregularity of the papillae, a moth-eaten calyx (early sign), irregular tract formation 
from the calyx to the papilla, and large irregular cavities with extensive destruction secondary to papillary 
necrosis. Cavitation within the renal parenchyma may be detected as irregular pools of contrast material. 
Mass lesion-cavity/hydrocalcyses
12/06/14 
Genitourinary tract tuberculosis. Plain radiograph of the abdomen in a patient with calcified seminal vesicles 
due to tuberculosis. Note the amorphous and speckled calcification in the right kidney.
12/06/14 
Plain radiograph of the abdomen demonstrates extensive calcification in the left kidney, which was 
nonfunctional (the putty kidney), consistent with autonephrectomy from tuberculosis.
12/06/14 
Figure 4a. (a) Retrograde ureteropyelogram shows globular calcific areas of increased opacity in the 
medial upper pole of the right kidney (arrowheads). The calices are markedly enlarged with ill-defined 
margins (white arrows). Small, irregular collections of extracaliceal contrast material are also present (black 
arrows). (b)Magnified view from a retrograde ureteropyelogram of the right ureter shows mucosal 
irregularities and erosions (arrowheads).

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GUTB

  • 1. Tuberculoma--localized caseating lesion, most commonly upper pole. nidus of infection enlarges and ruptures into a neighboring calyx, discharging necrotic caseous material--distorting the calyx---smudged papillae due to surface irregularity of the papillae, a moth-eaten calyx (early sign), irregular tract formation from the calyx to the papilla, and large irregular cavities with extensive destruction secondary to papillary necrosis. Cavitation within the renal parenchyma may be detected as irregular pools of contrast material. Mass lesion-cavity/hydrocalcyses
  • 2. 12/06/14 Genitourinary tract tuberculosis. Plain radiograph of the abdomen in a patient with calcified seminal vesicles due to tuberculosis. Note the amorphous and speckled calcification in the right kidney.
  • 3. 12/06/14 Plain radiograph of the abdomen demonstrates extensive calcification in the left kidney, which was nonfunctional (the putty kidney), consistent with autonephrectomy from tuberculosis.
  • 4. 12/06/14 Figure 4a. (a) Retrograde ureteropyelogram shows globular calcific areas of increased opacity in the medial upper pole of the right kidney (arrowheads). The calices are markedly enlarged with ill-defined margins (white arrows). Small, irregular collections of extracaliceal contrast material are also present (black arrows). (b)Magnified view from a retrograde ureteropyelogram of the right ureter shows mucosal irregularities and erosions (arrowheads).