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Lectures on diagnostic ürosonography


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Lectures on diagnostic ürosonography

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Lectures on diagnostic ürosonography

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