Man 64 yo
with clinical nocturia.
Renal ultrasound detected
abnormal at right kidney.
US1 : Right big renal
hilus and hyperechoic.
US 2: Crossed-section of right kidney shows hilus
vascular compression.
US 3: Small size of right kidney pelvis.
US 4: In elastographic ultrasound, right renal hilus is hard.
MRI of abdomen.
MRI 1 = Right kidney
in normal size, no hydronephrosis but renal hilus is covered by
one mass look like a tumor.
MRI 2 = Mass of solid structure covered the right
renal hilus.
MRI 3 = In frontal
view, right pelvic kidney is small by this mass compressed.
Endoscopic surgery= right
pelvic kidney is normal without tumor.
Laparoscopy detected
the abnormal fatty mass covered the hilus kidney. Biopsy no
tumor detected.
Microscopic report
is inflammed fatty tissue of renal hilus, that is a pseudotumor.
Reference : Hilus renal fatty stranding.
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