Introduction to KUB system

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Introduction to KUB system"

Transcription

1 Introduction to KUB system

2 Plain film Identify abnormal calcification Renal outlines Psoas shadows Bony structures Intestinal gas

3

4 Intravenous pyelography (IVP) Intravenous injection of contrast medium Fluid restriction in normal renal function patient to increased urine concentration, dense pyelogram Film timing (5,10, 20 min., full bladder and post voiding )

5 IVP (cont.) Renal shadows position axis size shape Renal pelvisp elvis, minor calyx : cupped Ureters : seen only some part Urinary bladder : smooth outline, empty after voiding

6

7

8

9 Retrograde pyelography (RP) Direct injection of CM into pelvicalyceal system or ureters via the catheter inserted into the bladder Demonstrates pelvicalyceal system and ureters in case of nondemonstrable on IVP study Shows anatomy but not renal function

10

11 Angiography Demonstrates details of vascular anatomy prior to surgery Assess renal vascular disease eg. renal artery stenosis Aim for endovascular treatment eg. percutaneous balloon angioplasty/ stent and embolization

12

13 Ultrasound Exclude hydronephrosis esp. in renal failure Diagnosis cyst, abscess or tumour Renal size measurement Retroperitoneal mass Doppler flow study Guided interventioni

14 Ultrasound (cont.) Kidneys Smooth outline Renal parenchyma, central echo complex size 9-12 cm. Normal ureters are not seen Urinary bladder

15 Normal renal ultrasound

16 Computerized tomography (CT) Useful in diagnosis of focal parenchymal problems eg. renal masses, trauma, infarction Retroperitoneal structures eg. tumours, abscess, lymphadenopathy

17 CT (cont.) Noncontrast VS contrast scan Renal cortex, medulla and pelvicaliceal system Ureters lie anterior to psoas muscle Urinary bladder outlined by fat in pelvic cavity

18 Non-contrast scan Post-contrast scan

19 Non-contrast scan Post-contrast scan

20 Other investigations Cystography,, urethrographyu Voiding cystourethrography rography (VCUG) Magnetic resonance imaging (MRI) Perinephric gas insufflation

21 Voiding cystourethrography rography (VCUG) Indications Vesicoureteral reflux Posterior urethral valve

22 Voiding cystourethrography

23

24

25 Voiding cystourethrography rography

26 MRI

27 Perinephric gas insufflation

28

29 Abnormalities 1 Congenital anomalies* 2 Calculi* 3 Infection* 4 Tumours* 5 Cystic disease 6 Vascular 7 Trauma

30 Congenital anomalies number : single, supranumerary kidney size : hypo- and hyperplasia fusion anomalies : horseshoe, pancake cross ectopia with fusion position : thoracic, pelvic kidney duplication : most frequent unilateral eral/bilateral complete/incomplete

31

32

33

34

35

36

37 Urinary calculi Nearly all urinary calculi are calcified Opaque stones : calcium oxalate, carbonate, phosphate Poor density stones : uric acid, xanthine, cystine

38 Urinary calculi (cont.) Plain film necessary before IVP study Ultrasound/IVP stone site of obstruction degree of obstruction renal function (IVP)

39 Urinary calculi (cont.) Differential diagnoses cartilage, bone lymph nodes blood vessels gallstones

40

41

42

43 IVP of urinary tract obstruction dense nephrogram delayed pyelogram clubbing of calyx dilated collecting system until point of obstruction causes : calculi, tumors, infection, retroperitoneal disease, etc.

44

45

46

47

48

49 Ultrasound (obstruction) dilated collecting system causes of obstruction

50

51

52 Infection Acute pyelonephritis usually due to bacterial infection ascending infection normal, mild caliectasis, incomplete filling or irregularity of calyces US: enlarged kidney, decreased echoes due to cortical edema CT : patchy diminished density, inhomogeneous enhancement

53

54 Infection (cont.) Chronic pyelonephritis thinning of renal parenchyma cortical scar small sized kidney caliectasis US : small kidney, increased echogenicity

55

56

57 Infection (cont.) Renal/perinephric abscess IVP : difficult to detect, local bulging US : thick wall, cystic and solid components CT: enhancing wall

58

59 Infection (cont.) Tuberculosis blood born spread of M. tuberculosis normal CXR does not exclude the diagnosis IVP : normal in early stage irregularity of a calyx, calcification renal substance is destroyed, loss of parenchymal width stricture of any portions of pelvicalyceal or ureters irregular bladder

60

61

62

63

64 Tumor Almost all solitary masses in renal parenchyma are malignant tumors Adults : almost malignant tumors are RCC (renal cell carcinoma) Children : Wilm s tumors

65 Renal mass IVP bulging of renal outline displacement of major and minor calices increase in renal size

66 Renal mass Ultrasound solid VS cystic simple cyst : clear fluid, no internal echo, acoustic enhancement

67

68

69

70 Renal mass CT scan simple cyst : spherical mass, imperceptible wall, homogeneous density similar to water RCC : spherical or lobulated, frequently have poorly defined margin, density close to renal parenchyma

71

72

73 Urothelial tumor Transitional cell CA grows within the collecting system lobulated/ frond-like filling defects may present as multiple sites may cause obstruction

74

75

76

77 Differential diagnoses Filling defect in collecting system clot cancer calculus fungal ball polyp air bubble

78 Wilm s tumor Most common malignant abdominal neoplasm in children 1-8 yr. Peak age yr. IVP: distorted calices US: echogenic mass CT: large intrarenal tumor, distorted calices, may invade IVC/Rt. atrium

79

80 Neuroblastoma Most common solid abdominal mass in infancy, originate from neural crest 25% during 1st year, 50%< 2 years IVP: displacement of collecting system, drooping lilly sign US: hypo/hyperechoic hyperechoic mass CT: extrarenal mass, strippled calcification, encasement of IVC

81

82 Wilm s tumor VS. Neuroblastoma Wilm s childhood calc % 15% distortion of collecting system metastasis to lung VMA and cathecholamine -ve Neuroblastoma may be congenital calc. >50% displacement of collecting system metastasis to brain, bone VMA and cathecholamine +ve

83 Autosomal Dominant Polycystic Kidney Disease (ADPKD) Adult polycystic kidney disease Bilateral enlarged kidneys with multiple cysts IVP : elongated and distorted pelvicalyceal system Ass. with cysts in liver, pancreas, cerebral aneurysm

84

85

86

87 Obstetric and Gynecologic Radiology Plain film Hysterosalpingography Ultrasound Pelvic arteriography or venography

88 Calcified fibroid myoma

89

90 Hysterosalpingography Sterility problem Investigation of uterine bleeding Visualization of sinus tract communicating with female genital tract Congenital anomalies of uterus : hypoplasia, septate, unicornuate, arcuate, bicornuate, didelphys

91

92

93 Ultrasound uterus, cervix, adnexa IUD gestational age fetal viability, development fetal anomalies amniotic fluid placenta

94

95 Uterine myomas

96

97

98

KUB. Kidney Ureter Bladder

KUB. Kidney Ureter Bladder KUB Kidney Ureter Bladder Diagnostic Technique Plain KUB Intravenous urography : IVP Voiding cystourethrography : VCUG Hysterosalpingography Ultrasonography Plain KUB The projection includes the entire

More information

Open the Flood Gates Urinary Obstruction and Kidney Stones. Dr. Jeffrey Rosenberg Dr. Emilio Lastarria Dr. Richard Kasulke

Open the Flood Gates Urinary Obstruction and Kidney Stones. Dr. Jeffrey Rosenberg Dr. Emilio Lastarria Dr. Richard Kasulke Open the Flood Gates Urinary Obstruction and Kidney Stones Dr. Jeffrey Rosenberg Dr. Emilio Lastarria Dr. Richard Kasulke Nephrology vs. Urology Nephrologist a physician who has been trained in the diagnosis

More information

UNIT 7 Urinary System Pathological Conditions

UNIT 7 Urinary System Pathological Conditions UNIT 7 Urinary System Pathological Conditions AZOTURIA Increase of nitrogenous substances, especially urea, in urine. DIURESIS Increased formation and secretion of urine. DYSURIA Painful or difficult urination,

More information

choanal atresia and complex heart defects have the highest rate of serious complications and/or poor outcome. b. Swallowing problems with increased se

choanal atresia and complex heart defects have the highest rate of serious complications and/or poor outcome. b. Swallowing problems with increased se URINARY TRACT ANOMALIES IN CHARGE: FOR THE UROLOGIST Marc S. Williams, M.D., Department of Pediatrics, Gundersen Lutheran Medical Center 1836 South Ave., LaCrosse, WI 54601 mwilliam@gundluth.org (608)782-7300

More information

Renal Cysts What should I do now?

Renal Cysts What should I do now? Renal Cysts What should I do now? Dr Edmund Chiong Asst. Professor & Consultant Department of Urology National University Hospital What are renal cysts? Fluid-filled structures in the kidney that are not

More information

Radiographic Findings and Comments

Radiographic Findings and Comments 642 Abdomen (Cont.) Differential Diagnosis of Abdominal s E. Focal parenchymal calcification of the kidney Tuberculosis (Fig. 27.19) Adenocarcinoma (Fig. 27.20) Nephroblastoma (Wilms tumor) (Fig. 27.21)

More information

Gynecology Abnormal Pelvic Anatomy and Physiology: Cervix. Cervix. Nabothian cysts. cervical polyps. leiomyomas. Cervical stenosis

Gynecology Abnormal Pelvic Anatomy and Physiology: Cervix. Cervix. Nabothian cysts. cervical polyps. leiomyomas. Cervical stenosis Gynecology Abnormal Pelvic Anatomy and Physiology: (Effective February 2007) pediatric, reproductive, and perimenopausal/postmenopausal (24-28 %) Cervix Nabothian cysts result from chronic cervicitis most

More information

A912: Kidney, Renal cell carcinoma

A912: Kidney, Renal cell carcinoma A912: Kidney, Renal cell carcinoma General facts of kidney cancer Renal cell carcinoma, a form of kidney cancer that involves cancerous changes in the cells of the renal tubule, is the most common type

More information

Uroradiology Tutorial For Medical Students

Uroradiology Tutorial For Medical Students Uroradiology Tutorial For Medical Students Lesson 1: Ultrasound Part 1 American Urological Association Introduction In order to understand urologic conditions and treatment, you need to know something

More information

Liver, Spleen, & Urinary System. Objectives. Liver. VMB 960 March 30, Normal position. Liver size influences position of. Radiography Ultrasound

Liver, Spleen, & Urinary System. Objectives. Liver. VMB 960 March 30, Normal position. Liver size influences position of. Radiography Ultrasound Liver, Spleen, & Urinary System VMB 960 March 30, 2009 Objectives Radiography Ultrasound Reference Reading Chapters 39 44 Pages 667 750 Liver, Spleen, Kidneys & Urinary Bladder Normal Common Patterns of

More information

Differential Diagnosis in Ultrasound

Differential Diagnosis in Ultrasound Differential Diagnosis in Ultrasound A Teaching Atlas von Günter Schmidt 1. Auflage Thieme 2005 Verlag C.H. Beck im Internet: www.beck.de ISBN 978 3 13 131891 6 schnell und portofrei erhältlich bei beck-shop.de

More information

Abdominal Ultrasound in Children

Abdominal Ultrasound in Children Abdominal Ultrasound in Children Professor Michael Ditchfield Professor & Head of Paediatric Imaging Monash Children s, Monash Medical Centre Monash University Circular smooth muscle of pyloric sphincter

More information

Gallbladder cancer is a disease in which malignant (cancer) cells form in the tissues of the gallbladder.

Gallbladder cancer is a disease in which malignant (cancer) cells form in the tissues of the gallbladder. Gallbladder cancer Gallbladder cancer is a disease in which malignant (cancer) cells form in the tissues of the gallbladder. Gallbladder cancer is a rare disease in which malignant (cancer) cells are found

More information

Smoking and misuse of certain pain medicines can affect the risk of developing renal cell cancer.

Smoking and misuse of certain pain medicines can affect the risk of developing renal cell cancer. Renal cell cancer Renal cell cancer is a disease in which malignant (cancer) cells form in tubules of the kidney. Renal cell cancer (also called kidney cancer or renal adenocarcinoma) is a disease in which

More information

Extrahepatic bile duct cancer is a rare disease in which malignant (cancer) cells form in the part of bile duct that is outside the liver.

Extrahepatic bile duct cancer is a rare disease in which malignant (cancer) cells form in the part of bile duct that is outside the liver. EXTRAHEPATIC BILE DUCT CANCER General Information Extrahepatic bile duct cancer is a rare disease in which malignant (cancer) cells form in the part of bile duct that is outside the liver. A network of

More information

Medullary Renal Cell Carcinoma Case Report

Medullary Renal Cell Carcinoma Case Report Bahrain Medical Bulletin, Vol. 27, No. 4, December 2005 Medullary Renal Cell Carcinoma Case Report Mohammed Abdulla Al-Tantawi MBBCH, CABS* Abdul Amir Issa MBBCH, CABS*** Mohammed Abdulla MBBCH, CABS**

More information

What s going on in the Uterus? Susan A. Bliss, M.D. Director, Medical Student Education Associate Director, Gynecology Carolinas Medical Center

What s going on in the Uterus? Susan A. Bliss, M.D. Director, Medical Student Education Associate Director, Gynecology Carolinas Medical Center What s going on in the Uterus? Susan A. Bliss, M.D. Director, Medical Student Education Associate Director, Gynecology Carolinas Medical Center No conflicts to disclose Objectives Normal uterine findings

More information

UCSF ED Renal/Bladder/UVJ Ultrasound Protocol

UCSF ED Renal/Bladder/UVJ Ultrasound Protocol UCSF ED Renal/Bladder/UVJ Ultrasound Protocol Indications: 1) Concern for renal stone or urinary obstruction; 2) evaluation of new onset renal failure to rule out a post- renal cause. Renal Anatomy: Transducer:

More information

Neck Content. Anatomy. Blood supply. (Effective February 2007) (1%-3%)

Neck Content. Anatomy. Blood supply. (Effective February 2007) (1%-3%) Neck Content (Effective February 2007) (1%-3%) Anatomy located in the anterior neck at the level of the hyoid cartilage right lobe, left lobe, and isthmus. Each lobe posterolaterally to the carotid artery

More information

Abdomen X-Ray (AXR) Collimation is ideally from diaphragms to lower border of the symphysis pubis and the lateral skin margins.

Abdomen X-Ray (AXR) Collimation is ideally from diaphragms to lower border of the symphysis pubis and the lateral skin margins. Abdomen X-Ray (AXR) Collimation is ideally from diaphragms to lower border of the symphysis pubis and the lateral skin margins. LMP of child-bearing age female patients should be checked. 1. Acute abdomen

More information

Dr Ramesh Patel Consultant Radiologist Warwick Hospital

Dr Ramesh Patel Consultant Radiologist Warwick Hospital Dr Ramesh Patel Consultant Radiologist Warwick Hospital Urinary stone imaging and Radiation Awareness Modalities Plain Xray Ultrasound Computed Tomography Magnetic Resonance Imaging (MRI)? MRI In the absence

More information

ESPR-Meeting, Barcelona/Spain, June 2007

ESPR-Meeting, Barcelona/Spain, June 2007 Imaging recommendations in paediatric uroradiology: Minutes of the ESPR workgroup session on urinary tract infection, fetal hydronephrosis, urinary tract ultrasonography and voiding cystourethrography

More information

Coding Companion for Urology/Nephrology. A comprehensive illustrated guide to coding and reimbursement

Coding Companion for Urology/Nephrology. A comprehensive illustrated guide to coding and reimbursement Coding Companion for Urology/Nephrology A comprehensive illustrated guide to coding and reimbursement 2013 Contents Getting Started with Coding Companion...i Integumentary...1 Arteries and Veins...15 Lymph

More information

3.0 Goals: Understanding how ultrasound works; its uses, strengths, and weaknesses

3.0 Goals: Understanding how ultrasound works; its uses, strengths, and weaknesses 46 CHAPTER THREE ULTRASOUND 3.0 Goals: Understanding how ultrasound works; its uses, strengths, and weaknesses Objective questions: 3.1 What is ultrasound? 3.2 How does ultrasound work? 3.3 How is an image

More information

Kidney cases. Case 1: 50 year old with hematuria

Kidney cases. Case 1: 50 year old with hematuria Kidney cases Bruce Lehnert MD Body Imaging and Emergency Radiology University of Washington Case 1: 50 year old with hematuria What is the most likely diagnosis? A: Angiomyolipoma B: Renal lymphoma C:

More information

Mucinous Cystadenoma of the Ovary

Mucinous Cystadenoma of the Ovary Case Studies [1] September 24, 2012 By Harpreet Singh, MD [2] A 50-year-old female with a history of progressive abdominal distention and discomfort for six months. A 50-year-old female with a history

More information

Urine Blockage in Newborns National Kidney and Urologic Diseases Information Clearinghouse

Urine Blockage in Newborns National Kidney and Urologic Diseases Information Clearinghouse Urine Blockage in Newborns National Kidney and Urologic Diseases Information Clearinghouse National Institute of Diabetes and Digestive and Kidney Diseases NATIONAL INSTITUTES OF HEALTH The urinary tract

More information

P R E S E N T S Dr. Mufa T. Ghadiali is skilled in all aspects of General Surgery. His General Surgery Services include: General Surgery Advanced Laparoscopic Surgery Surgical Oncology Gastrointestinal

More information

Ultrasound assessment of women with pelvic pain

Ultrasound assessment of women with pelvic pain Ultrasound assessment of women with pelvic pain Lil Valentin Department of Obstetrics and Gynecology Skåne University Hospital Malmö, Sweden How to make optimal use of ultrasound in women with pelvic pain

More information

Patient Guide to. Vesicoureteral Reflux. uwhealthkids.org

Patient Guide to. Vesicoureteral Reflux. uwhealthkids.org Patient Guide to Vesicoureteral Reflux uwhealthkids.org Anatomy of the Genitourinary System In most people the urinary system consists of two kidneys that are drained by ureters into the bladder. The kidneys

More information

National Competency Profiles (NCP s) Appendix 2.3

National Competency Profiles (NCP s) Appendix 2.3 STRUCTURE Abdominal wall Adrenal gland Biliary tract CONDITION / PATHOLOGY Hematoma - rectus sheath Hernia Trauma Tumour Adenoma Adrenal lymphoma Congenital hyperplasia Hemorrhage Hyperadrenalism Hypoadrenalism

More information

Abnormal calcifications of the urinary tract

Abnormal calcifications of the urinary tract Abnormal calcifications of the urinary tract Poster No.: C-0833 Congress: ECR 2014 Type: Educational Exhibit Authors: R. A. Costa, C. M. Oliveira, M. A. C. D. Abreu, F. Caseiro 1 2 1 2 2 2 Alves ; PT,

More information

Why Liver Tumors Appear As They Do?: Imaging-Pathologic Correlation

Why Liver Tumors Appear As They Do?: Imaging-Pathologic Correlation Why Liver Tumors Appear As They Do?: Imaging-Pathologic Correlation Pablo R. Ros, MD, MPH University Hospitals of Cleveland Case Western Reserve University Cleveland, Ohio USA XLIV Curso Anual Sociedad

More information

Urinary system selected materials under Creative Commons License from radiopaedia.org and radiologyassistant.nl

Urinary system selected materials under Creative Commons License from radiopaedia.org and radiologyassistant.nl Urinary system Grażyna Rusak M.D. Zbigniew Serafin M.D., Ph.D. Nicolaus Copernicus University in Toruń Collegium Medicum in Bydgoszcz selected materials under Creative Commons License from radiopaedia.org

More information

Focal Liver Lesions: Characterization with MDCT. Jorge A. Soto, M.D.

Focal Liver Lesions: Characterization with MDCT. Jorge A. Soto, M.D. Focal Liver Lesions: Characterization with MDCT Jorge A. Soto, M.D. CT: Principle Ability to detect a liver lesion depends upon: Relationship between size and section thickness Background organ attenuation:

More information

53 X-rays and Diagnostic Radiology

53 X-rays and Diagnostic Radiology Learning Outcomes 53.1 Explain how x-rays are used for diagnostic and therapeutic purposes. 53-2 CHAPTER 53 X-rays and Diagnostic Radiology 53.2 Compare invasive and noninvasive diagnostic procedures.

More information

School of Diagnostic Medical Sonography

School of Diagnostic Medical Sonography Semester 1 Orientation - 101 This class is an introduction to sonography which includes a basic anatomy review, introduction to sonographic scanning techniques and physical principles. This curriculum

More information

Renal Cancer: Symptoms, diagnosis, pathology & prognosis

Renal Cancer: Symptoms, diagnosis, pathology & prognosis Renal Cancer: Symptoms, diagnosis, pathology & prognosis Mark Johnson Consultant Urological Surgeon Newcastle upon Tyne Hospitals NHS Foundation Trust Plan for today: How renal tumours present What investigations

More information

Abdominal Mass Patient Management Process. Janix M. De Guzman, MD Department of Surgery

Abdominal Mass Patient Management Process. Janix M. De Guzman, MD Department of Surgery Abdominal Mass Patient Management Process Janix M. De Guzman, MD Department of Surgery Abdominal Mass History Physical Examination Abdominal Mass History Onset Location acute chronic progressing Associated

More information

Kidney Cancer Understanding your diagnosis

Kidney Cancer Understanding your diagnosis Kidney Cancer Understanding your diagnosis Let s Make Cancer History 1 888 939-3333 cancer.ca Kidney Cancer Understanding your diagnosis When you first hear that you have cancer you may feel alone and

More information

Liver Cancer What is the liver? What is liver cancer?

Liver Cancer What is the liver? What is liver cancer? Liver Cancer What is the liver? The liver is the largest internal organ in the body and is important in digesting food. The liver performs many other functions, including collecting and filtering blood

More information

Kidney Stones. This reference summary will help you understand kidney stones and how to treat and prevent them. Kidney

Kidney Stones. This reference summary will help you understand kidney stones and how to treat and prevent them. Kidney Introduction A kidney stone is a solid piece of material that forms in the kidney from substances in the urine. Kidney stones are fairly common. Although kidney stones can be painful, they are treatable.

More information

Uroradiology For Medical Students

Uroradiology For Medical Students Uroradiology For Medical Students Lesson 5 Nuclear Renography 1 American Urological Association Objectives In this lesson you will learn How a nuclear renogram is performed Three classes of radionuclides

More information

Urinary Tract Infections in Children

Urinary Tract Infections in Children Urinary Tract Infections in Children National Kidney and Urologic Diseases Information Clearinghouse National Institute of Diabetes and Digestive and Kidney Diseases NATIONAL INSTITUTES OF HEALTH Urinary

More information

thirteen, it was more marked and here one could see a certain degree of beading along the lines which radiated out from the calyx.

thirteen, it was more marked and here one could see a certain degree of beading along the lines which radiated out from the calyx. CONGENITAL CYSTIC DILATATION OF THE RENAL COLLECTING TUBULES A NEW DISEASE ENTITY* VINCENT VERMOOTEN** In 1943, while I was in the U. S. Army, a young soldier was referred to me because of gross, painless,

More information

Breast Ultrasound: Benign vs. Malignant Lesions

Breast Ultrasound: Benign vs. Malignant Lesions October 25-November 19, 2004 Breast Ultrasound: Benign vs. Malignant Lesions Jill Steinkeler,, Tufts University School of Medicine IV Breast Anatomy Case Presentation-Patient 1 62 year old woman with a

More information

Metastatic Cervical Cancer s/p Radiation Therapy, Radical Hysterectomy and Attempted Modified Internal Hemipelvectomy

Metastatic Cervical Cancer s/p Radiation Therapy, Radical Hysterectomy and Attempted Modified Internal Hemipelvectomy Metastatic Cervical Cancer s/p Radiation Therapy, Radical Hysterectomy and Attempted Modified Internal Hemipelvectomy Sarah Hutto,, MSIV Marc Underhill, M.D. January 27, 2009 Past History 45 yo female

More information

Uterine fibroids (Leiomyoma)

Uterine fibroids (Leiomyoma) Uterine fibroids (Leiomyoma) What are uterine fibroids? Uterine fibroids are fairly common benign (not cancer) growths in the uterus. They occur in about 25 50% of all women. Many women who have fibroids

More information

Renovascular Disease. Renal Artery and Arteriosclerosis

Renovascular Disease. Renal Artery and Arteriosclerosis Other names: Renal Artery Stenosis (RAS) Renal Vascular Hypertension (RVH) Renal Artery Aneurysm (RAA) How does the normal kidney work? The blood passes through the kidneys to remove the body s waste.

More information

Facts About Kidney Disease

Facts About Kidney Disease American Kidney Fund 6110 Executive Boulevard, Suite 1010 Rockville, MD 20852 Phone: (301) 881-3052, Fax: (301) 881-0898 Toll-Free: (800) 638-8299 Informacion En Español: (866) 300-2900 HelpLine@kidneyfund.org

More information

95% of childhood kidney cancer cases are Wilms tumours. Childhood kidney cancer is extremely rare, with only 90 cases a year in

95% of childhood kidney cancer cases are Wilms tumours. Childhood kidney cancer is extremely rare, with only 90 cases a year in James Whale Fund for Kidney Cancer Childhood kidney cancer factsheet Kidney cancer rarely afflicts children and about 90 paediatric cases are diagnosed in the UK each year. About 75% of childhood kidney

More information

Spleen. Anatomy. (Effective February 2007) (1%-5%) Normal. Related Anatomy Anterior to spleen. Medial border. Posteriorly

Spleen. Anatomy. (Effective February 2007) (1%-5%) Normal. Related Anatomy Anterior to spleen. Medial border. Posteriorly Spleen (Effective February 2007) (1%-5%) Anatomy Normal Intraperitoneal, except hilum Left hypochondrium Left hemidiaphragm superior generally considered to be ovoid, with a convex superior and a concave

More information

WHAT S WRONG WITH MY GALL BLADDER? GALL BLADDER POLYPS

WHAT S WRONG WITH MY GALL BLADDER? GALL BLADDER POLYPS WHAT S WRONG WITH MY GALL BLADDER? GALL BLADDER POLYPS This is a patient information booklet providing specific practical information about gall bladder polyps in brief. Its aim is to provide the patient

More information

USG OF THE ABDOMEN AND PELVIS Real time ultrasonography of the abdomen and pelvis has been performed.

USG OF THE ABDOMEN AND PELVIS Real time ultrasonography of the abdomen and pelvis has been performed. Miss. NAMITA OZA DR. ASHOK M. MULEKAR MD 24 April 2011 USG OF THE ABDOMEN AND PELVIS Real time ultrasonography of the abdomen and pelvis has been performed. The liver is normal in size, shape, position

More information

Uterine Fibroids. fibroids or have had Treatments. them in the past, How you can help relieve the pain

Uterine Fibroids. fibroids or have had Treatments. them in the past, How you can help relieve the pain Uterine Fibroids WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Uterine fibroids are benign (not cancer) growths in the uterus. They are the most common type of growth found in a woman s

More information

Causes, symptoms and diagnosis of kidney cancer

Causes, symptoms and diagnosis of kidney cancer James Whale Fund for Kidney Cancer Causes, symptoms and diagnosis of kidney cancer Causes of kidney cancer As with most cancers, there is no direct cause of kidney cancer and for many people the cause

More information

Chest Radiography Interpretation: Reading Chest Films

Chest Radiography Interpretation: Reading Chest Films Chest Radiography Interpretation: Reading Chest Films Lisa Chen, M.D. Assistant Clinical Professor Pulmonary and Critical Care Division Department of Medicine San Francisco General Hospital Michael Gotway,

More information

The cranial abdomen: Liver and Spleen

The cranial abdomen: Liver and Spleen The cranial abdomen: Liver and Spleen Tony Pease, DVM, MS Assistant Professor of Radiology North Carolina State University Reading Chapter 41 in Thrall Imaging the cranial abdomen Thickest part of the

More information

BERGEN COMMUNITY COLLEGE DIAGNOSTIC MEDICAL SONOGRAPHY PROGRAM Division of Health Professions DMS 213 SYLLABUS

BERGEN COMMUNITY COLLEGE DIAGNOSTIC MEDICAL SONOGRAPHY PROGRAM Division of Health Professions DMS 213 SYLLABUS BERGEN COMMUNITY COLLEGE DIAGNOSTIC MEDICAL SONOGRAPHY PROGRAM Division of Health Professions DMS 213 SYLLABUS Course Title: DMS 213 - Abdominal Sonography 2 2 lec. 3 lab. 3 credits (5 hours) Required

More information

Laparoscopy and Hysteroscopy

Laparoscopy and Hysteroscopy AMERICAN SOCIETY FOR REPRODUCTIVE MEDICINE Laparoscopy and Hysteroscopy A Guide for Patients PATIENT INFORMATION SERIES Published by the American Society for Reproductive Medicine under the direction of

More information

Palm Beach Obstetrics & Gynecology, PA

Palm Beach Obstetrics & Gynecology, PA Palm Beach Obstetrics & Gynecology, PA 4671 S. Congress Avenue, Lake Worth, FL 33461 561.434.0111 4631 N. Congress Avenue, Suite 102, West Palm Beach, FL 33407 Urinary Tract Infection About one of every

More information

36 year old gentleman with unilateral pain/swelling of scrotum for 4 days.

36 year old gentleman with unilateral pain/swelling of scrotum for 4 days. Department of Radiology Henry Ford Health System Detroit, Michigan 36 year old gentleman with unilateral pain/swelling of scrotum for 4 days. Pinky Sharma Wayne State School of Medicine 02/26/2010 Resident:

More information

Single ectopic ureteral orifice with bilateral duplicated renal collecting systems in an adult girl: Diagnosis by magnetic resonance urography

Single ectopic ureteral orifice with bilateral duplicated renal collecting systems in an adult girl: Diagnosis by magnetic resonance urography Original case report research Single ectopic ureteral orifice with bilateral duplicated renal collecting systems in an adult girl: Diagnosis by magnetic resonance urography Min Tang, MD; * Quanrongzi Wang,

More information

Welcome to the website of Pécs Diagnostic Center. Below you will find detailed information on CT, MRI and DEXA examinations.

Welcome to the website of Pécs Diagnostic Center. Below you will find detailed information on CT, MRI and DEXA examinations. Welcome to the website of Pécs Diagnostic Center. Below you will find detailed information on CT, MRI and DEXA examinations. CT scan Usually recommended in cases where an exact diagnosis cannot be established

More information

Autosomal Dominant Polycystic Kidney Disease

Autosomal Dominant Polycystic Kidney Disease Autosomal Dominant Polycystic Kidney Disease Carolynn DeBenedectis September 15, 2005 BIDMC Case 47 year old female with a history of hypertension, hepatomegaly, early satiety, and some abdominal discomfort.

More information

Abnormal Uterine Bleeding FAQ Sheet

Abnormal Uterine Bleeding FAQ Sheet Abnormal Uterine Bleeding FAQ Sheet What is abnormal uterine bleeding? Under normal circumstances, a woman's uterus sheds a limited amount of blood during each menstrual period. Bleeding that occurs between

More information

Commonly Used CPT Codes for CT (Computed Tomography)

Commonly Used CPT Codes for CT (Computed Tomography) Commonly Used CPT Codes for CT (Computed Tomography) Harrison Imaging Centers Procedure CPT Code Indications CT Abdomen Pelvis with and without IV CT Abdomen Pelvis with IV CT Abdomen Pelvis without IV

More information

Pyelonephritis: Kidney Infection

Pyelonephritis: Kidney Infection Pyelonephritis: Kidney Infection National Kidney and Urologic Diseases Information Clearinghouse U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH What is pyelonephritis? Pyelonephritis

More information

This handout is for informational purposes only. Talk with your doctor or health care team if you have any questions about your care.

This handout is for informational purposes only. Talk with your doctor or health care team if you have any questions about your care. PATIENT EDUCATION patienteducation.osumc.edu What is the esophagus? The esophagus (food pipe) is a tube that connects your throat to your stomach. It is about 10 inches long and runs behind your trachea

More information

X-Plain Kidney Stones Reference Summary

X-Plain Kidney Stones Reference Summary X-Plain Kidney Stones Reference Summary Introduction Kidney stones are fairly common. Although they can be very painful, they are treatable, and in many cases preventable. This reference summary will help

More information

Introduction Breast cancer is cancer that starts in the cells of the breast. Breast cancer happens mainly in women. But men can get it too.

Introduction Breast cancer is cancer that starts in the cells of the breast. Breast cancer happens mainly in women. But men can get it too. Male Breast Cancer Introduction Breast cancer is cancer that starts in the cells of the breast. Breast cancer happens mainly in women. But men can get it too. Many people do not know that men can get breast

More information

06/10/09. 64 Slice BODY CT PROTOCOLS. Table of Contents

06/10/09. 64 Slice BODY CT PROTOCOLS. Table of Contents 06/10/09 64 Slice BODY CT PROTOCOLS Table of Contents General CT Comments 1 Protocol Routine Abdomen/Pelvis.. Routine Chest, Abdomen and Pelvis Retroperitoneal Hemorrhage Trauma. CT Cystography... Triple

More information

Abnormal Uterine Bleeding

Abnormal Uterine Bleeding Abnormal Uterine Bleeding WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Abnormal uterine bleeding is one of the most common reasons women see their doctors. It can occur at any age and has

More information

Endometriosis Presenting As Acute Pyelonephritis Wang, J.H., Su, Y.H. Department of Internal Medicine, Jen-Ren Hospital, Kaohsiung, Taiwan

Endometriosis Presenting As Acute Pyelonephritis Wang, J.H., Su, Y.H. Department of Internal Medicine, Jen-Ren Hospital, Kaohsiung, Taiwan Endometriosis Presenting As Acute Pyelonephritis Wang, J.H., Su, Y.H. Department of Internal Medicine, Jen-Ren Hospital, Kaohsiung, Taiwan Introduction Endometriosis may present with varied signs and symptoms

More information

CT ORDERING GUIDE Table of Contents

CT ORDERING GUIDE Table of Contents CT ORDERING GUIDE Table of Contents HEAD Angiogram Head W Contrast IMG2013 3 Head WO Contrast* IMG181 3 Head W Contrast IMG182 3 Head W WO Contrast IMG183 3 Maxillofacial WO Contrast IMG2375 4 Maxillofacial

More information

Liver Cancer And Tumours

Liver Cancer And Tumours Liver Cancer And Tumours What causes liver cancer? Many factors may play a role in the development of cancer. Because the liver filters blood from all parts of the body, cancer cells from elsewhere can

More information

LYMPHOMA IN DOGS. Diagnosis/Initial evaluation. Treatment and Prognosis

LYMPHOMA IN DOGS. Diagnosis/Initial evaluation. Treatment and Prognosis LYMPHOMA IN DOGS Lymphoma is a relatively common cancer in dogs. It is a cancer of lymphocytes (a type of white blood cell) and lymphoid tissues. Lymphoid tissue is normally present in many places in the

More information

Recurrent or Persistent Pneumonia

Recurrent or Persistent Pneumonia Recurrent or Persistent Pneumonia Lower Respiratory Tract Dr T Avenant Recurrent or Persistent Pneumonia Definitions Recurrent pneumonia more than two episodes of pneumonia in 18 months Persistent pneumonia

More information

Uroradiology For Medical Students

Uroradiology For Medical Students Uroradiology For Medical Students Lesson 7 Computerized Tomography 1 American Urological Association Objectives In this lesson you will learn How computerized tomography (CT) is performed How to read CT

More information

Follow-Up Care for Breast Cancer

Follow-Up Care for Breast Cancer A Patient s Guide Follow-Up Care for Breast Cancer Recommendations of the American Society of Clinical Oncology The American Society of Clinical Oncology (ASCO) is a nonprofit organization which represents

More information

Perimenopausal Bleeding and Bleeding After Menopause

Perimenopausal Bleeding and Bleeding After Menopause WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Perimenopausal Bleeding and Bleeding After Menopause During perimenopause, your periods may become less predictable. These changes are common.

More information

Laparoscopic Splenectomy and Adrenalectomy. A simple guide to help answer your questions about surgery

Laparoscopic Splenectomy and Adrenalectomy. A simple guide to help answer your questions about surgery Laparoscopic Splenectomy and Adrenalectomy A simple guide to help answer your questions about surgery What is a spleen? The spleen is a solid organ that lies in the upper left side of the abdomen, just

More information

Uterine Fibroids: Not As Simple As You Think.

Uterine Fibroids: Not As Simple As You Think. Uterine Fibroids: Not As Simple As You Think jeffrey.weinreb@yale.edu Uterine Leiomyoma Most common uterine neoplasm 20-30% women >35yo Under hormonal influence Enlarge during pregnancy or BCP use Regress

More information

Imaging Hepatocellular Carcinoma:

Imaging Hepatocellular Carcinoma: Imaging Hepatocellular Carcinoma: The Role of Radiology in Diagnosis & Treatment Rachel Jimenez Gillian Lieberman, MD March 2008 Clinical Presentation 50 year old man with chronic Hepatitis C & cirrhosis,

More information

What's the Best Approach to Evaluate the Liver Mass?

What's the Best Approach to Evaluate the Liver Mass? WHAT IS THE BEST WAY TO EVALUATE THE LIVER MASS? Mitchell L Shiffman, MD Chief, Hepatology Section Virginia Commonwealth University Medical Center Richmond, VA LIVER MASSES DISCOVERY AND SIGNIFICANCE Incidental

More information

ICD-9-CM coding for patients with Spinal Cord Injury*

ICD-9-CM coding for patients with Spinal Cord Injury* ICD-9-CM coding for patients with Spinal Cord Injury* indicates intervening codes have been left out of this list. OTHER DISORDERS OF THE CENTRAL NERVOUS SYSTEM (340-349) 344 Other paralytic syndromes

More information

To Whipple or Not to Whipple, that is the Question: Evaluating the Resectability of Pancreatic Adenocarcinoma

To Whipple or Not to Whipple, that is the Question: Evaluating the Resectability of Pancreatic Adenocarcinoma August 2009 To Whipple or Not to Whipple, that is the Question: Evaluating the Resectability of Pancreatic Adenocarcinoma Christina Ramirez, Harvard Medical School Year III Gillian Lieberman, MD Agenda

More information

Ovarian Torsion: Sonographic Evaluation

Ovarian Torsion: Sonographic Evaluation J Clin Ultrasound 17:327-332, June 1989 Ovarian Torsion: Sonographic Evaluation Mark A. Helvie, MD,* and Terry M. Silver, MDI Abstract: The sonographic and clinical findings of 13 patients with surgically

More information

The causes of kidney cancer are unknown. However, there are several factors that may increase your risk including:

The causes of kidney cancer are unknown. However, there are several factors that may increase your risk including: Kidney cancer Summary Kidney cancer is more common in people over the age of 55 years. Most kidney cancers are found when the doctor is checking for something else. A person is usually able to live quite

More information

Metastatic Prostate Cancer Causing Complete Obstruction of the IVC

Metastatic Prostate Cancer Causing Complete Obstruction of the IVC Department of Radiology Henry Ford Health System Detroit, Michigan Metastatic Prostate Cancer Causing Complete Obstruction of the IVC Jennifer Johnston MSIII, Wayne State Medical School Stage 4 Metastatic

More information

ABDOMINAL PAIN. By Lawrence R. Schiller, M.D. Baylor University Medical Center Dallas, Texas

ABDOMINAL PAIN. By Lawrence R. Schiller, M.D. Baylor University Medical Center Dallas, Texas ABDOMINAL PAIN By Lawrence R. Schiller, M.D. Baylor University Medical Center Dallas, Texas What is abdominal pain? Ordinarily, we are unaware of any of the actions of the organs in the abdomen or any

More information

Geir Folvik, MD Division of Gastroenterology Department of Medicine, Haukeland University Hospital Bergen, Norway 30.11.2015

Geir Folvik, MD Division of Gastroenterology Department of Medicine, Haukeland University Hospital Bergen, Norway 30.11.2015 Benign liver diseases Geir Folvik, MD Division of Gastroenterology Department of Medicine, Haukeland University Hospital Bergen, Norway 30.11.2015 1 Agenda Benign focal liver lesions Fatty liver disease

More information

Sample Learning Objectives for a Medical School Radiology Curriculum: Listed by Subjects

Sample Learning Objectives for a Medical School Radiology Curriculum: Listed by Subjects Sample Learning Objectives for a Medical School Radiology Curriculum: Listed by Subjects This document lists sample learning objectives by subject matter The numerical ranking in parenthesis following

More information

Vesicoureteral Reflux (VUR)

Vesicoureteral Reflux (VUR) Vesicoureteral Reflux (VUR) Educational Information sheet What is VUR?: The reverse or retrograde flow or urine from the bladder, into the ureters, and generally into the kidney(s). Backwash Occurs when

More information

Urinary System and Kidney Structure

Urinary System and Kidney Structure Urinary System and Kidney Structure Each kidney contains many tiny tubules that empty into a cavity drained by the ureter. Each of the tubules receives a blood filtrate from a capillary bed called the

More information

Small cell lung cancer

Small cell lung cancer Small cell lung cancer Small cell lung cancer is a disease in which malignant (cancer) cells form in the tissues of the lung. The lungs are a pair of cone-shaped breathing organs that are found within

More information

Kidney Cancer OVERVIEW

Kidney Cancer OVERVIEW Kidney Cancer OVERVIEW Kidney cancer is the third most common genitourinary cancer in adults. There are approximately 54,000 new cancer cases each year in the United States, and the incidence of kidney

More information

Coding Companion for Urology/Nephrology. A comprehensive illustrated guide to coding and reimbursement

Coding Companion for Urology/Nephrology. A comprehensive illustrated guide to coding and reimbursement Coding Companion for Urology/Nephrology A comprehensive illustrated guide to coding and reimbursement Contents Getting Started with Coding Companion... i Integumentary...1 Arteries and Veins...15 Lymph

More information

CT Protocols for Common Primary Care Diagnoses

CT Protocols for Common Primary Care Diagnoses for Common Primary Care Diagnoses Lacey J. McIntosh DO, MPH University of Massachusetts Medical Center UNECOM 2014 CME Program/Reunion and Alumni Weekend: Primary Care in Today s Changing Practice Environment

More information

Current Diagnostic Tools for Pancreatic Cancer

Current Diagnostic Tools for Pancreatic Cancer Current Diagnostic Tools for Pancreatic Cancer Presented by Pancreatic Cancer Action Network www.pancan.org November 14, 2013 If you experience technical difficulty during the presentation: Contact WebEx

More information