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Cortical thickness was reduced in 84% patients and in 16% cases could not be assessed as the renal pyramids could not be identified on sonography.
Renal ultrasound showed renal cortical echogenicity, with very prominent renal pyramids, consistent with renal failure.
These wedges are the renal pyramids formed by the long loops of Henle, medullary collecting tubules, and vasa recta.