PEDIATRICS Vol. 72 No. 6 December 1983, pp. 840-846
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Causes of Increased Renal Echogenicity in Pediatric Patients

Alan M. Krensky MD1, Joseph M. Reddish RDMS1, and Rita Littlewood Teele MD1

1 From the Departments of Nephrology and Radiology, Children's Hospital Medical Center and Harvard Medical School, Boston

Review of 2,700 abdominal ultrasonic examinations revealed 56 patients whose kidneys showed increased echogenicity. Echogenic kidneys were associated with medical renal disease in 94% of cases (30% glomerular, 48% tubulointerstitial, 16% end-stage) and with no detectable renal disease in 6% (three patients). Patterns of increased echogenicity and renal size were evaluated. Specific patterns occurred in end-stage renal disease and polycystic kidney disease. Other medical renal diseases had overlapping ultrasonographic features. Some generalizations could be made although increased echogenicity was often nonspecific.

Key Words: pediatric ultrasonography • renal diseases • echogenic kidneys

Submitted on October 1, 1982
Accepted on March 8, 1983




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