Term
| Differential diagnosis: Renal artery stenosis |
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Definition
77 year old male presented with history of arteriosclerosis and decreased urinary output
RA assessment by doppler demonstrated increased velocity >150-190 cm/sec
RI was found to be >.83
What is the most probable diagnosis? |
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Term
Differential diagnosis: APKD
Why not Von Hippel-Lindau? |
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Definition
47 year old male presents with hematuria, history of hypertension and decreasing output.
States that two of his brothers, his Dad and Grandfather all had kidney problems.
Sonographic findings were of bilateral multiple cysts in the kidneys; some cysts also seen in the liver.
What is the most likely diagnosis? |
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Term
| Transitional cell carcinoma |
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Definition
75 year old male presents with hematuria, weight loss, fatigue, fever and flank pain
Sonographic findings demonstrated an ill-defined hypoechoic lesion in the area of the renal sinus.
What is the most likely diagnosis? |
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Term
| Probable diagnosis: angiolipoma |
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Definition
36 year old female presented with right flank pain. Lab values showed no abnormality.
Sonogram demonstrated a solitary well-defined, hyperechoic, homogeneous lesion in the renal parenchyma |
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Term
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Definition
A 35 year old man comes to the hospital emergency room complaining of mid upper abdomen pain that hurts all the way through to his back. Upon admittance through the ER, lab tests were performed that revealed elevated amylase levels. What findings might be on the abdominal sonogram relevant to the symptoms and lab findings?
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Term
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Definition
A 63 year old man is seen by his physician. The patient complains of a recent 35 pound weight loss (no dieting), midepigastric pain,that radiates to the back, and nausea and vomiting. He has a palpable mass felt in that area. The patient appears jaundiced. On admission to the hospital, lab exams were performed that demonstrated increased bilirubin and amylase levels. What is your preliminary diagnosis and what structures would you want to image carefully in your sonogram?
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Term
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Definition
A patient with vague back pain and intermittent episodes of nausea and vomiting was seen by his family physician. Lab values showed a mildly elevated serum amylase level. He did not have a fever and his physician thought it was probably a viral infection. The patient was sent home. One week later he returned to the ER complaining of intense abdominal pain. On examination, he appeared intoxicated. His pain was in the epigastric region. Lab values demonstrated increased levels of serum lipase and serum calcium levels. A sonogram was ordered to evaluate the pancrease. What would you expect to find?
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