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KEY FACTS Imaging 2% of sporadic renal cell carcinomas (RCCs) are bilateral, and 16-25% of sporadic RCCs are multicentric in same kidney Exophytic: Projects from cortical surface, distinct from parenchyma Most are hypervascular (not papillary RCC) Rarely, small areas of fat attenuation (-80 to -120 HU) Combination of fat and calcification suggests RCC, not renal angiomyolipoma (AML) Renal venous (23%) and inferior vena cava (IVC) tumor…

KEY FACTS Terminology Rare, benign cystic renal neoplasm that contains stromal and epithelial components You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

KEY FACTS Terminology Rare, benign epithelial renal neoplasm You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

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KEY FACTS Terminology Benign renal tumor composed of abnormal blood vessels, smooth muscle, and adipose components Imaging Most common benign renal neoplasm 80% are incidental findings on imaging 90% are unilateral and solitary: Usually not associated with tuberous sclerosis (TSC) 10% are multiple and bilateral: Usually due to TSC 80% of TSC patients have renal angiomyolipomas (AMLs) Solid, heterogeneous, renal cortical mass in adult with macroscopic…

KEY FACTS Terminology Benign nonneoplastic proliferation of cysts, usually within normally functioning kidney You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

KEY FACTS Terminology Spectrum of functional and structural renal damage caused by lithium ingestion Nephrogenic diabetes insipidus and chronic renal insufficiency are most common presentations You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

KEY FACTS Terminology Hereditary, autosomal dominant disease affecting several organs and associated with multiple neoplasms You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

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KEY FACTS Terminology Inherited polycystic renal disease characterized by progressive cystic growth and multiple systemic manifestations You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

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KEY FACTS Terminology Fluid-filled renal lesion Imaging Bosniak classification Imaging-based classification of renal cystic lesions – Class I: Benign cysts – Class II: Minimally complicated cysts; benign – Class IIF: Requires CT/MR imaging follow-up – Class III: More complicated cysts; usually managed surgically (biopsy controversial) – Class IV: Malignant lesions; require surgery Simple cyst US: Simple, uncomplicated cyst; spherical or ovoid, anechoic content, sharply defined, imperceptible…

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KEY FACTS Terminology Infection of obstructed renal collecting system You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

KEY FACTS Terminology Localized collection of pus due to suppurative necrosis in kidney You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

KEY FACTS Imaging Best imaging tool: CT CT findings Intraparenchymal gas ± perirenal extension ± renal or perirenal fluid collections Classification systems based on distribution of gas and fluid collections Ultrasound findings Nondependent echogenic foci in renal parenchyma &/or collecting system "Dirty shadowing"; ring-down artifacts You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are…