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The kidney is divided into parenchyma and renal sinus. The renal sinus is hyperechoic and is composed of calyces, the renal pelvis, fat and the major intrarenal vessels. In the normal kidney, the urinary collecting system in the renal sinus is not visible, but it creates a heteroechoic appearance with the interposed fat and vessels.
Ultrasound involves a probe that is placed near a structure and uses the transmission of ultrasound waves through a structure to produce images, after computer processing. [1] Ultrasound of the urinary tract is performed by a probe placed on the abdominal wall, called a transducer. [1] This occurs while a person is lying down. [1]
The size of the renal pelvis plays a major role in the grading of hydronephrosis. Normally, the anteroposterior diameter of the renal pelvis is less than 4 mm in fetuses up to 32 weeks of gestational age and 7 mm afterwards. [2] In adults, 13% of the normal population have a transverse pelvic diameter of over 10 mm. [3]
Medical ultrasound includes diagnostic techniques (mainly imaging techniques) using ultrasound, as well as therapeutic applications of ultrasound. In diagnosis, it is used to create an image of internal body structures such as tendons, muscles, joints, blood vessels, and internal organs, to measure some characteristics (e.g., distances and velocities) or to generate an informative audible sound.
It is defined as abnormally small kidneys, where the size is less than two standard deviations below the expected mean for the corresponding demographics, and the morphology is normal. [4] [1] The severity of the disease depends on whether hypoplasia is unilateral or bilateral, and the degree of reduction in the number of nephrons. [1]
For example, the diameter was found to be 5.04 ± 0.74 mm using ultrasound but 5.68 ± 1.19 mm using angiography. [ 4 ] [ 5 ] Due to the anatomical position of the aorta , the inferior vena cava , and the kidneys, the right renal artery is normally longer than the left renal artery.
Gross appearance of a renal oncocytoma (left of image) and a slice of a normal kidney (right of image). Note the rounded contour, the mahogany colour and the central scar. In gross appearance, the tumors are tan or mahogany brown, well circumscribed and contain a central scar. They may achieve a large size (up to 12 cm in diameter).
Pancake kidney (also known as disc, shield or doughnut kidney [1]) is a rare anomaly of the kidney with complete fusion of the superior, mild and inferior poles of both kidneys. The kidney is seen as a single, disc-shaped mass typically located in the pelvis. [2] Each kidney has its own ureter that does not cross the midline. [1]