Chronic
medical renal disease is characterized sonographically by firstly loss of
cortico-medullary
differentiation followed by increased cortical echogenicity
It is
much later that there is a decrease in the vascularity of the kidneys.
At
times the kidneys may be very poorly visualised due to the increased cortical
echogenicity. In fact in extreme cases and end stage renal disease the kidneys
may not be seen at all during ultrasound imaging. Another important feature in
chronic medical renal disease is the small size of the kidneys signifying
atrophic changes in the kidneys. The ultrasound images below show one typical case of chronic medical renal disease:
Both kidneys are shown in the ultrasound image below with typical changes described about:
Both kidneys are shown in the ultrasound image below with typical changes described about:
Colour Doppler images of the left and right kidneys show diminished vascularity in both kidneys. This is an ominous sign and signifies and imminence of end-stage renal disease in the not too distant future.
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