ESR Essentials: renal imaging in children—practice recommendations by the European Society of Paediatric Radiology - European Radiology Abstract Renal pathology is common in childhood. Imaging plays a critical role in the diagnosis of kidney diseases and encompasses a range of modalities. Advanced imaging is typically performed in…

🔹 Know when to escalate
Solid renal lesions and complex cases should be referred to specialised paediatric centres with dedicated expertise.

#PaediatricRadiology #RenalImaging #UltrasoundFirst #ESR

buff.ly/4cqFS8r (Magdalena Maria Woźniak et al.)

Progressive decline in kidney function, worsening proteinuria, dysmorphic erythrocyturia: consideration for kidney biopsy. Renal US is obtained….sometimes we get to it too late, marked parenchymal thinning, risk:benefit against the biopsy #renalimaging

1/3 exhibit A: non obstructive nephrolithiasis by US and CT #renalimaging

Impressive contrast CT images illustrating R renal infarction affecting half of the parenchyma, pt had flank pain & normal Cr, as it is usual in these cases. 10 yrs later, affected parenchyma is atrophied, Cr remains unchanged. #renalimaging #nephropic #nephronmass

3/ at that point, the thinking process goes in the direction of a UTI that may or may not be related to the AKI, or AIN. she denied taking any meds or herbs whatsoever. Nothing else to suggest autoimmune dz. More info was needed. Let’s get a renal US: #renalimaging

Often overlooked abnormality in #renalultrasound: effacement or the renal sinus (right) denoting “swollen” renal parenchyma (could be ATN, AIN, GN); normal brightness and thickness in left image. #renalimaging #nephropic #kidneyultrasonography #nephroPOCUS @OchsnerNephro

Two kidneys of different color? complete occlusion of the right renal artery with no uptake of IV contrast, image by CT scanning #nephropic #renalimaging #kidneyimaging #MedEd @OchsnerNephro @OchsnerRads

When you read “kidney with bumpy contour” in a sonogram report, this is what it means. Sometimes it’s just persistent fetal lobulation, but it often denotes scarring. #renalimaging #nephropic #nephroPOCUS #kidneyimaging #renalultrasound #MedEd @OchsnerNephro

Nice example of a hyperechogenic kidney. Biopsy showed C3-GN with only 5% IFTA & zero obsolescent gloms; “echogenic kidneys” in isolation is never a contraindication for kidney biopsy. #renalimaging #NephPOCUS #renalultrasound #kidneyimaging #nephropic @OchsnerNephro

ESKD pt on CCPD. Not specific but very sensitive for CUA: calcified blood vessel by X-ray. Recently discussed in #NephJC
https://itunes.apple.com/app/id568780324 #calciphylaxis #ESRD #nephropic #renalimaging #bedsiderounds #MedEd

Fred Rahbari from @EmoryUniversity on ADPKD. T2 in #MRI is best to visualize cysts (white) #renalimaging #kidneyimaging #NephroNet2018

Great example of a #kidney w/advanced #CKD: small size, bumpy contour, thinned parenchyma and multiple acquired simple #cysts likely dx ischemic #nephropathy #kidneyimaging #renalimaging #renalultrasound #renalultrasonography #nephropic #badlookingbeans

Nice chemicoradiological correlation: medullary nephrocalcinosis and NAG met acidosis. MSK? Sjogren? W/u in progress. #renalimaging #nephroimaging #renalultrasound #kidneyimaging #acidbase

Up: Lasix MAG3 renogram showing L limited/delayed tracer uptake/excr. Down: retrograde pyelogram w/L UPJ stricture & nephrostogram w/ drain/tube placement. #renalimaging #kidneyimaging #nephrourology #kidneypic #pisseprophet #obstructiveuropathy #SuccessStory

Bilateral hydronephrosis assessed by diuretic MAG3 renogram revealing L partial obstruction #renalimaging #kidneyimaging #kidneynuclear #nuclearmedicine #nephrovideo #pisseprophet

Bumpy contours in a CKD stage 3B pt. #renalimaging #kidneyUS #renalultrasound #kidneyultrasonography #kidneyimaging

Horseshoe #kidney with unilateral hydronephrosis due to ureteropelvic junction obstr. #renalimaging #nephropic #kidneyimaging #coolcase #nephrourology

Hyperechogenic lesion in upper pole of R #kidney, incidental finding, prompted further investigation #renalimaging #renalultrasound #renalultrasonography #kidneyUS

The unfortunate scenario of an atrophied L kidney and an obstructed R kidney (stone) with hydro. #renalimaging