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Vesicoureteral Reflux

Damasco LD - MedPix (2005)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Vesicoureteral Reflux

History: Previously healthy 4yo male with a recent history of decreased appetite and approximately 5lb weight loss x 2.5wks, intermittent vomiting and diarrhea x 2wks, and dysuria x 2d presents with fever to 104, mild tachycardia, and CVAT L>R. Initial lab work-up reveals increased WBC and the presence of urine nitrites and leukocyte esterase.

Findings: U/S: -R kidney: demonstrating normal echogenicity and measuring 9.5cm (upper limit of normal for patient age.) There is no evidence of hydronephrosis -L kidney: elongated measuring 11.5cm. There is evidence of mild hyperechogenecity of the renal cortex. VCUG: Grade II reflux on the right. Grade IV reflux on the left with mild tortuosity of the ureter. Additionally, there are compound calyces of the superior and inferior poles of the left collecting system. Normal urethra without evidence of posterior urethral valves (PUV).

Dxhow: VCUG

No MeSH data available.


Normal distended bladder filled with contrast. Dilated and mildly tortuous ureters filled with refluxed contrast bilaterally.
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MPX1913_synpic27439: Normal distended bladder filled with contrast. Dilated and mildly tortuous ureters filled with refluxed contrast bilaterally.


Vesicoureteral Reflux

Damasco LD - MedPix (2005)

Normal distended bladder filled with contrast. Dilated and mildly tortuous ureters filled with refluxed contrast bilaterally.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1913&req=5

MPX1913_synpic27439: Normal distended bladder filled with contrast. Dilated and mildly tortuous ureters filled with refluxed contrast bilaterally.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Vesicoureteral Reflux

History: Previously healthy 4yo male with a recent history of decreased appetite and approximately 5lb weight loss x 2.5wks, intermittent vomiting and diarrhea x 2wks, and dysuria x 2d presents with fever to 104, mild tachycardia, and CVAT L>R. Initial lab work-up reveals increased WBC and the presence of urine nitrites and leukocyte esterase.

Findings: U/S: -R kidney: demonstrating normal echogenicity and measuring 9.5cm (upper limit of normal for patient age.) There is no evidence of hydronephrosis -L kidney: elongated measuring 11.5cm. There is evidence of mild hyperechogenecity of the renal cortex. VCUG: Grade II reflux on the right. Grade IV reflux on the left with mild tortuosity of the ureter. Additionally, there are compound calyces of the superior and inferior poles of the left collecting system. Normal urethra without evidence of posterior urethral valves (PUV).

Dxhow: VCUG

No MeSH data available.