Report format or template- Doppler ultrasound atrophic kidney

Ultrasound and color Doppler report template/ format of atrophic left kidney

 

1)KIDNEYS:

RT.--    8.4 x 4.0 cms ;

LT.--    4.9 x 3.2 cms  ;

Left kidney appears normal. No pelvicalyceal dilation is seen.

Rt. Kidney appears small and atrophic with very poor vascularity.

3 to 4 small caluli of 2 to 5 mm. are seen in right kidney.

Renal parenchymal thickness: Lt.-   1.9 cms          Rt.—1.0 cms

Perirenal spaces are normal.

2) COLOR DOPPLER IMAGING:

A) Renal parenchymal flow:

(Intrarenal vasculature)

Lt: normal.

Rt: very poor vasularity seen in whole of right kidney.

B) Segmental arterial flow:

1) Any damping of spectral tracing: marked dampening of flow seen in right kidney.

2) RI (normal is < 0.7): Lt: 0.7

                                      Rt: 0.4

C) Renal arterial flow:

1) RI (RESISTANCE INDEX) –renal arteries

Lt: 0.6

Rt: Rt. renal artery is not visualized clearly.

2) PEAK SYSTOLIC VELOCITY (PSV) (renal artery): (NORMAL = 74-127 cms./sec).

LT: 38 to 40

RT: not visualized.

3) Width= Lt. renal artery-- 0.6 cms. (near hilum).

              Right renal artery-- ??. (near hilum)

4) RAR (RENAL ART PSV/AORTIC PSV. Normal RAR is <3.3):

Lt--

Rt--

5) Spectral waveform pattern of renal arteries:

Lt-- normal.

Rt-- ??

6) Any evidence of AV fistulae or malformation:

Nil.

URINARY BLADDER:

Distension—normal

Any trabeculation: no evidence of trabeculation seen.

Calculus: no calculus is present

Diverticulum: no diverticulum is seen.

Liver shows mild fatty change.

Pancreas, gall bladder and spleen appear normal.

OPINION:

COLOR DOPPLER scan suggests –

• Left kidney/ left renal artery appear normal. No pelvicalyceal dilation is seen.
• Rt. Kidney appears small and atrophic with very poor vascularity.
• 3 to 4 small caluli of 2 to 5 mm. are seen in right kidney.
• Very poor vasularity seen in whole of right kidney.
• Marked dampening of flow seen in right kidney
• Rt. renal artery is not visualized clearly.

SUGGEST: clinical correlation and follow up.

CT or MR angiography of the renal arteries should be done to confirm these findings.