CASE 156: RENAL CYST or HYDRONEPHROSIS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

WOMAN 49F PAIN AT LEFT SUBCOSTAL AREA.

 ULTRASOUND ABDOMEN DETECTED LEFT KIDNEY ABNORMAL WITH CYSTIC MASS AT UPER POLE.

WHAT IS YOUR DIAGNOSIS, RENAL CYST OR HYDRONEPHROSIS ? ( 2 IMAGES LONGITUDINAL  AND CROSS-SECTIONAL SCANS WITH B MODE GREYSCALE).

WITH B MODE IT IS VERY DIFFICULT  TO MAKE SURE DIAGNOSIS. WE USE PULSE DOPPLER, IT HAS  WAVEFORM PATTERN.

For  a clear diagnosis, we  use  CDI with  YINGYANG SIGN and  MSCT  UROLOGY which MAKE SURE THAT an AVM at the left kidney.

 

 

Summary= Black and white ultrasound  sometimes  makes mistake on diagnosis  of vascular diseases.

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