Polycystic Kidney Disease, Pediatric

<bold>Figure 12-21</bold> Infantile polycystic kidney disease. Coronal image of a 24-week fetus demonstrates bilateral enlarged echogenic kidneys (arrows). Severe oligohydramnios is present.

<bold>Fig GU 8-2. Adult polycystic kidney disease.</bold> Nephrogram phase from selective arteriography of the left kidney demonstrates innumerable cysts ranging from pinhead size to 2 cm. The opposite kidney had an identical appearance.⁶

<bold>Fig GU 28-2. Adult polycystic kidney disease.</bold> (A) Parasagittal sonogram of the right kidney (PK) shows a random distribution of multiple cysts that vary dramatically in size. The normal reniform contour is maintained. (B) Parasagittal sonogram in a young, asymptomatic member of the family shows multiple cysts (C_R, C_L) in the right kidney (R) and liver (L). (D, diaphragm; H, head.)²

<bold>Figure 9.42. Polycystic kidney and liver disease.</bold> Frontal <bold>(A)</bold> and lateral <bold>(B)</bold> radiographs of an infant after IVU show the dense nephrogram appearance to the massively enlarged kidneys. The lucencies within the kidneys represent the cysts. <bold>C.</bold> CT image shows multiple cysts in the liver. <bold>D.</bold> CT image through the kidneys in an adult patient show multiple renal cysts. Notice the enhancement of the surro...

<bold>Figure 9.42. Polycystic kidney and liver disease.</bold> Frontal <bold>(A)</bold> and lateral <bold>(B)</bold> radiographs of an infant after IVU show the dense nephrogram appearance to the massively enlarged kidneys. The lucencies within the kidneys represent the cysts. <bold>C.</bold> CT image shows multiple cysts in the liver. <bold>D.</bold> CT image through the kidneys in an adult patient show multiple renal cysts. Notice the enhancement of the surro...

<bold>Figure 9.42. Polycystic kidney and liver disease.</bold> Frontal <bold>(A)</bold> and lateral <bold>(B)</bold> radiographs of an infant after IVU show the dense nephrogram appearance to the massively enlarged kidneys. The lucencies within the kidneys represent the cysts. <bold>C.</bold> CT image shows multiple cysts in the liver. <bold>D.</bold> CT image through the kidneys in an adult patient show multiple renal cysts. Notice the enhancement of the surro...

Infantile polycystic disease. The dilated cortical and medullary collecting ducts are arranged radially, and the external surface is smooth.

<bold>Figure 9.43. Polycystic kidney disease with renal failure. A.</bold> CT image shows multiple renal cysts. <bold>B.</bold> CT image through the pelvis shows a transplanted kidney (<i>T</i>).

<bold><italic>Figure 19-9</bold> Hereditary polycystic kidney disease.</bold> Specimen from a 33-year-old man.

FIG. 3.132. Autosomal dominant polycystic kidney disease. Fat-suppressed T2-weighted image demonstrates extensive bilateral renal involvement with cysts (<italic>arrows</bold>).