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Ultrasonic appearance of pyelogenic cysts
Southern Medical Journal
|December 1, 1983
Summary
Ultrasonography can reveal kidney cystic masses that are actually pyelogenic cysts. Contrast urography is crucial for distinguishing these from simple kidney cysts in both children and adults.
Area of Science:
- Nephrology
- Radiology
- Pediatric Imaging
Background:
- Ultrasonography is a common imaging modality for evaluating renal masses.
- Differentiating cystic renal masses is essential for appropriate patient management.
Observation:
- Two cases, one adult and one child, presented with ultrasonically identified cystic renal masses.
- These masses exhibited characteristics suggestive of simple cysts on initial sonography.
Findings:
- Contrast urography confirmed the ultrasonically detected masses as pyelogenic cysts.
- Pyelogenic cysts and simple renal cysts share similar sonographic appearances.
Implications:
- Contrast urography is vital for the accurate differential diagnosis of renal cystic masses identified by ultrasound.
- This distinction is critical for guiding treatment strategies in pediatric and adult nephrology.