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This tag is associated with 15 posts

Peyronie’s Disease

History: male with penile pain. This is an example of Peyronie’s Disease, which has also been called “induratio penis plastica.” Peyronie’s disease is fibrosis of the tunica albuginea, which is the soft tissue lining the corpora cavernosa in the penis.   This leads to a curved penis with erections and significant penile pain. This can … Continue reading

Solution to Unknown Case #24 – Multilocular Cystic Nephroma on Ultrasound

History: 60 year old male with flank pain.  This is a multilocular cystic nephroma, which is a benign cystic neoplasm of the kidney classically seen in young males and middle aged females. Multilocular cystic nephomas commonly herniate into the renal hilum. It is impossible to distinguish multilocular cystic nephromas from malignant cystic tumors on imaging … Continue reading

Unknown Case #24 – Right Kidney Ultrasound

History: 60 year old male with flank pain.  What is your diagnosis for this 60 year old male with flank pain? Comment and share below!

Solution to Unknown Case #22 – Vesicoureteral Reflux with Duplicated Collecting System

History: Child with multiple urinary tract infections.  This is a case of vesicoureteral reflux with a completely duplicated right collecting system. Vesicoureteral reflux is graded as follows: 1. Grade 1 – reflux into a normal caliber ureter only 2. Grade 2 – reflux into the ureter, renal pelvis, and calyces with out dilatation 3. Grade … Continue reading

Unknown Case #22 – Retrograde Voiding Cystourethrogram

History: child with history of urinary tract infections.  What is your diagnosis for this child with a history of multiple urinary tract infections? Comment and share below!

Solution to Unknown Case # 7 – Focal Orchitis with Pyocele

History: Adolescent male with scrotal pain. This is a case of focal orchitis with pyocele, which characteristically appears as an ill-defined hypoechoic heterogenous lesion in the testicle on grayscale ultrasound, with increased flow on color Doppler ultrasound. This is distinguished from an intratesticular abscess by having internal flow on Doppler ultrasound. Intratesticular abscess would be … Continue reading

Solution to Unknown Case #5 – Calyceal Diverticulum

History: 16 year old female with recurrent flank pain.  This is the appearance of a calyceal diverticulum, which is a small outpouching or eventration of a calyx into the renal parenchyma. They are usually connected by a narrow channel to the renal pelvis, as seen in the IVP image above. A calyceal diverticulum can be … Continue reading

Unknown Case # 5 – Intravenous Pyelogram and Abdominal CT

History: 16 year old female with recurrent flank pain. What is your diagnosis for this pediatric patient with recurrent flank pain? Comment below. Share and pin this case by clicking on the icons below!

Endometrioma

History: 35 year old female with pelvic pain.  Endometriosis is a condition in which endometrial cells (the cells that line the inside of the uterus) are found outside of the uterus within other areas of the body. Patients typically complain of painful menstruation, irregular bleeding, and infertility. When endometrial tissue forms a localized mass, such as … Continue reading

Ovarian Fibroma on Ultrasound

History: 40 year old female with pelvic pain. The imaging appearance here is consistent with a solid adnexal mass. The differential diagnosis in this case includes pedunculated uterine fibroid, ovarian torsion, Brenner Tumor, fibroma or fibrothecoma, lymphadenopathy, GI tumors and Bladder tumors. The final diagnosis on pathology was ovarian fibroma. These are benign tumors of … Continue reading

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