Renal and Bladder Ultrasound



Figure 9.1
Right kidney: The right kidney is visualized next to the liver in long axis



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Figure 9.2
Right kidney in short axis: In short axis, the kidney will appear more rounded


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Figure 9.3
Left kidney: The left kidney is visualized next to the spleen in long axis


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Figure 9.4
Left kidney in short axis: The left kidney in short axis next to the spleen


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Figure 9.5
Bladder in transverse: Cross-sectional view of the bladder


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Figure 9.6
Bladder in sagittal: Sagittal view of the bladder. Note the posterior acoustic enhancement that is normal for fluid filled structures


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Figure 9.7
Uterus posterior to bladder: In females, the uterus is located directly posterior to the bladder (arrow)


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Figure 9.8
Prostate posterior to bladder: In males, the prostate is located posterior to the bladder (arrow)


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Figure 9.9
Normal bladder wall thickness: Bladder wall thickness measured at 0.15 cm. Normal bladder wall thickness is less than 5 mm when empty and less than 3 mm when full


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Figure 9.10
Ureteral flow jets with color Doppler: In a transverse plane, ureteral flow jets representing urine entering the bladder can be seen. Color Doppler can enhance the detection of ureteral flow jets


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Figure 9.11
Bladder volume measurement in transverse: In a transverse plane, measure across the bladder to obtain length (L) and from anterior to posterior to obtain width (W)


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Figure 9.12
Bladder volume measurement in sagittal: In sagittal orientation, measure superior to inferior to obtain the height (H) measurement




Renal Pathology





  1. (a)


    Hydronephrosis



    • Dilation of the renal collecting system due to intrinsic or extrinsic obstruction:



      • Common etiologies include large ureteral stone, enlarged prostrate, bladder mass, and extrinsic compression of collecting system.


    • Appears as an anechoic fluid collection within the renal sinus.


    • Hydronephrosis can be mild, moderate, or severe:



      • Mild: Dilation of renal pelvis and anechoic areas within the hyperechoic renal sinus [1]:



        • Figure 9.13—Mild hydronephrosis


        • Video 9.9—Mild hydronephrosis


      • Moderate: Separation of minor and major calyces [1]:



        • Figure 9.14—Moderate hydronephrosis


        • Video 9.10—Moderate hydronephrosis


      • Severe: Notable for thinning of the renal cortex [3] and significant dilation of the renal pelvis and minor and major calyces [1]:



        • Figure 9.15—Severe hydronephrosis


        • Video 9.11—Severe hydronephrosis

     

  2. (b)
Feb 27, 2018 | Posted by in ULTRASONOGRAPHY | Comments Off on Renal and Bladder Ultrasound

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