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Case of the Month

February 2007

Patient Data: 5 year old boy

Clinical Info: Enlarged kidneys


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Longitudinal image of the enlarged right kidney. The kidney measures more than 14 centimeter. There is loss of definition and distortion of the renal sinus echo complex.


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Plain abdominal film showing the enlarged kidneys.


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Longitudinal image of the enlarged left kidney.


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Transverse image of the enlarged right kidney.


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E flow image of the left kidney. The vascularity of the kidneys is normal.


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Detail high frequency image showing diffuse infiltration of the renal cortex with sparing of the adjacent medullae and distortion of the renal sinus echo complex.


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Chest X ray of the same child showing a widened mediastinum caused by enlarged lymphe nodes.

The kidneys were enlarged because of renal leukemic infiltration. After treatment with chemotherapy the size of the kidneys returned to normal.

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References
Kumari-Subaiya S, Lee WJ, Festa R, Phillips G, Pochaczevsky R.
Sonographic findings in leukemic renal disease.
J Clin Ultrasound. 1984 Oct;12(8):465-72.

Copyright © Dr. T.S.A. Geertsma, Ziekenhuis Gelderse Vallei, Ede, The Netherlands. All rights reserved.

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