Kidney stones or something else?
These images were obtained from a middle-aged individual with a history of chronic kidney disease stage IV, smoking, and coronary artery disease, who was admitted for exacerbation of congestive heart […]
Kidney ultrasound pitfalls: don’t forget to fan
When performing kidney ultrasound, we emphasize on fanning through the entire organ (anteroposterior in the long axis and superoinferior in the transverse axis) so that small lesions such as cysts […]
A case of hydronephrosis
An elderly gentleman was seen in the nephrology clinic for acute kidney injury (AKI) on underlying chronic kidney disease stage III. Estimated glomerular filtration rate (eGFR) was 18 ml/min at […]
Checklist for interpreting kidney ultrasound
In our experience, checklists help novice users to systematically interpret the sonographic findings and reduce errors. So, I made SECONDS checklist for interpretation of nephrologist-performed renal ultrasound. Simply, it prompts […]
Renal angiomyolipoma
Here is a nice example of solitary renal angiomyolipoma (AML). Well-circumscribed hyperechoic lesion in the right kidney with echotexture similar to that of adjacent sinus fat. As discussed before, ultrasound […]
Parapelvic Cyst
A patient with a history of chronic kidney disease and nephrolithiasis is seen in the clinic for follow up. Last available serum creatinine is relatively stable compared to baseline. Resident […]
Pelvic Kidney
A middle-aged patient was seen in the nephrology clinic for evaluation of chronic kidney disease. No prior imaging was available. Patient was asymptomatic and there was no significant renal-related history […]
Two young patients with increased renal cortical echogenicity
We previously discussed that not all increased cortical echogenicity is chronic kidney disease (CKD). Here are two more illustrative cases. A young woman with a history of systemic lupus nephritis […]
Short story of a complex renal cyst
We have previously discussed about distinguishing between autosomal dominant polycystic kidney disease and acquired cystic kidney disease (ACKD). Chronic kidney disease (particularly dialysis-requiring) is frequently associated with the development of […]