Time to play! [23]

Hi all!

We wish you a happy spring! Here is a brand new Time To Play to celebrate the arrival of this sweet season 🌷🌼

I will send the answers to the questions in about one week. 

This entry was posted by Dominique.

9 thoughts on “Time to play! [23]

  1. Rein gauche ok Rein droit le calice est dilatĂ© liquide homogène hypoechogene le flot sanguin au doppler est bon l’uretère droit est dilatĂ© et tortueux dans sa partie proche du rein avec un contenu d’echogenicite variable. le colon est rempli de MF les anses d’intestin grĂŞle devant la vessie sont normales DD maladie obstructtive du rein droit avec hydronephrose et IRA pouvant etre causĂ© par une accumulation dans la partie renale de l’uretère de matĂ©riel (cf ureterocele (ou pus hypoechogene homogène ! ou lithiase sans code d’ombre!)

  2. CavitĂ© pyĂ©lique dilatĂ©e au niveau du rein gauche (zones hypoĂ©chogènes au niveau du système collecteur) uretère tortueux et dilatĂ©! Contenant quelque chose d’Ă©chogĂ©nĂ©citĂ© tissulaire?

    Urétérocèle

  3. Left Kidney measures ~ 4.5 cm long. There is no evidence of pyelectasia. The left ureter is not visible.

    The right kidney shows marked pyelectasia. It is enlarged, measuring greater than 5 cm long. There is echogenic material/structure in the renal pelvis near the opening of the ureter. This material does not appear to have any blood flow. The ureter is visualized all the way to the urinary bladder. The ureter is dilated and portions of it have echogenic urine within it. Near the entrance to the urinary bladder the ureter is thickened.

    The urinary bladder contains gravity dependent echogenic debris.

    My primary differential is a pyelonephritis. The material near the opening of the ureter is most likely cellular debris though a mass/granuloma is possible. Further diagnostics could include aspiration of the urine from the renal pelvis for culture and sensitivity. FNA of the material in the renal pelvis can also be done.

    A contrast CT could be considered to try and completely r/o a mass at the opening to the ureter, though not ideal to perform with the azotemia.

    Thank you for the post!

    Steve

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