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Parenchymal destruction: The renal tissue undergoes caseous necrosis, fibrosis, and calcification. Fibrosis and shrinkage : Progressive scarring results in a small, irregularly shaped kidney. Calcification : Deposition of calcium salts within the necrotic tissue leads to the characteristic dense appearance of the kidney on imaging.
It may cause acute kidney injury. It is now more commonly used to describe diffuse, fine, renal parenchymal calcification in radiology. [2] It is caused by multiple different conditions and is determined by progressive kidney dysfunction. These outlines eventually come together to form a dense mass. [3]
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.
A computed tomography urography (CT urography or CT urogram) is a computed tomography scan that examines the urinary tract after contrast dye is injected into a vein. [1]In a CT urogram, the contrast agent is through a cannula into a vein, allowed to be cleared by the kidneys and excreted through the urinary tract as part of the urine.
Since Page kidney is a unilateral process, symptom presentation differs significantly depending on if patients have native kidneys or only one functioning kidney, such as renal transplant recipients. [2] In those with a normally functioning second kidney, the only symptom may be new-onset hypertension.
The renal fascia is a dense, elastic connective tissue envelope enclosing the kidney and adrenal gland, together with the layer of perirenal fat surrounding these two. [1]The renal fascia separates the adipose capsule of kidney from the overlying pararenal fat.
Ultrasonographic examination can be useful in evaluating questionable asymptomatic kidney tumours and cystic renal lesions if computed tomography imaging is inconclusive. This safe and non-invasive radiologic procedure uses high frequency sound waves to generate an interior image of the body on a computer monitor.
Nephrology is a specialty for both adult internal medicine and pediatric medicine that concerns the study of the kidneys, specifically normal kidney function (renal physiology) and kidney disease (renal pathophysiology), the preservation of kidney health, and the treatment of kidney disease, from diet and medication to renal replacement therapy (dialysis and kidney transplantation).