[Echography of the kidney and its calyceal-pelvic complex in comparison with the anatomic and roentgenographic data]

Anatomical and echographic data have been compared in 35 mature human kidneys. Ultrasound anatomy of the kidney has been verified. It has been stated that the central part of the renal echogram is occupied by the zone of intensive echosignals, that corresponds not to the calyceal complex, as it had been considered previously, but to the renal sinus. The renal sinus filled with fatty tissue and small arterial and venous vessels, their diameter is below the resolving power of the ultrasound device, is visualized as fused intensive echosignals of an elongated form, when the renal scanning is longitudinal, and as oval or round -- when the scanning is transversal. The calyceal-pelvic complex, filled with liquor, is presented as an anechogenic branching structure, situating within the zone of an increased echogeneity. The echographic picture of the calyceal-pelvic complex is always fragmentary: as small anechogenic areas in the hyperechogenic zone mentioned (the small pelvic calyces), or an excentrically situated anechogenic zone near the hilus renalis (the renal pelvis). In order to make the echographic investigations more accurate, it is necessary to follow certain methodical requirements, anatomical comparisons including.