FEMALE PATIENT 16 YO IN HEALTH CHECK-UP BY ULTRASOUND DETECTED ASCITES.
MSCT WITH CE FOR DIAGNOSIS=
CT 1 : CROSSED SECTION DETECTED 2 KIDNEYS BEING PULL UP.
CT 2 : CROSSED SECTION UPPER 2 CYSTS RETROPERITONEUM.
CT 3 : SAGITTAL VIEW, KIDNEYS DEFORMATION AND DEPLACEMENT.
CT 4 : 2 CYSTS RETROPERITONEUM
CT 5 : 3D VIEW URINARY SYSTEM NORMAL
RADIOLOGIST SUSPECTED URINOMA. PUNCTION ASPIRATION, THE FLUID IS NOT URINE BUT LIKE LYMPHATIC COLLECTION.
ARTER PUNCTURE ASPIRATION AND SCLEROTHERAPY.
MRI 1=THE FLUID IS STILL UPPER POLE OF RIGHT KIDNEY AND AROUND LEFT KIDNEY.
MRI 2 = VASCULAR SUPPLY FOR 2 KIDNEYS IS NORMAL.
ULTRASOUND REVIEW AFTER ONE YEAR.
US 1, US 2: RIGHT KIDNEY.
US 3, US 4 : LEFT KIDNEY SHOWED VASCULAR SUPPLY OF 2 KIDNEYS IS NORMAL AND RENAL FUNCTION IS NORMAL.
CONCLUSION= IT IS BILATERAL PERIRENAL LYMPHANGIOMATOSIS.
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