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Quality Assurance Case of the Day: Normal Hypoechoic Perirenal Fat Mistaken as the Renal Parenchyma in a Patient With Small Echogenic Native Kidneys

Quality Assurance Case of the Day: Normal Hypoechoic Perirenal Fat Mistaken as the Renal... Downloaded from http://journals.lww.com/ultrasound-quarterly by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/10/2020 CASES OF THE DAY Quality Assurance Case of the Day Normal Hypoechoic Perirenal Fat Mistaken as the Renal Parenchyma in a Patient With Small Echogenic Native Kidneys Jennifer W. Jung, MD and Cheryl L. Kirby, MD Clinical Indication A 68-year-old man with a renal transplant and new hematuria. Evaluate native kidneys. What is incorrect regarding the renal length measurements? FIGURE 1. A and B, Sagittal ultrasound images of the native right and left kidneys in a patient with a renal transplant. The right kidney was measured as 11.4 cm, and the left kidney was measured as 13.5 cm in length. The measurements are of the hypoechoic perinephric fat and not the true renal parenchymal borders. The small echogenic kidneys were initially misinterpreted as the echogenic parapelvic fat. Diagnosis: Normal Hypoechoic Perirenal Fat Mistaken as the Renal Parenchyma in a Patient With Small Echogenic Native Kidneys In this patient, the length of the kidneys was overmeasured (Figs. 1A, B), and the true small echogenic kidneys were initially not appreciated (Figs. 2A, B). This error occurred because the hypoechoic perirenal fat was presumed to represent the renal cortex and the atrophic echogenic kidney was http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Ultrasound quarterly Wolters Kluwer Health

Quality Assurance Case of the Day: Normal Hypoechoic Perirenal Fat Mistaken as the Renal Parenchyma in a Patient With Small Echogenic Native Kidneys

Jung, Jennifer, W.; Kirby, Cheryl, L.
Ultrasound quarterly , Volume 24 (2) – Jun 1, 2008
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Publisher
Wolters Kluwer Health
ISSN
0894-8771
eISSN
1536-0253
DOI
10.1097/RUQ.0b013e31817c5e2c
Publisher site
See Article on Publisher Site

Abstract

Downloaded from http://journals.lww.com/ultrasound-quarterly by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/10/2020 CASES OF THE DAY Quality Assurance Case of the Day Normal Hypoechoic Perirenal Fat Mistaken as the Renal Parenchyma in a Patient With Small Echogenic Native Kidneys Jennifer W. Jung, MD and Cheryl L. Kirby, MD Clinical Indication A 68-year-old man with a renal transplant and new hematuria. Evaluate native kidneys. What is incorrect regarding the renal length measurements? FIGURE 1. A and B, Sagittal ultrasound images of the native right and left kidneys in a patient with a renal transplant. The right kidney was measured as 11.4 cm, and the left kidney was measured as 13.5 cm in length. The measurements are of the hypoechoic perinephric fat and not the true renal parenchymal borders. The small echogenic kidneys were initially misinterpreted as the echogenic parapelvic fat. Diagnosis: Normal Hypoechoic Perirenal Fat Mistaken as the Renal Parenchyma in a Patient With Small Echogenic Native Kidneys In this patient, the length of the kidneys was overmeasured (Figs. 1A, B), and the true small echogenic kidneys were initially not appreciated (Figs. 2A, B). This error occurred because the hypoechoic perirenal fat was presumed to represent the renal cortex and the atrophic echogenic kidney was

Journal

Ultrasound quarterly – Wolters Kluwer Health

Published: Jun 1, 2008

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