Caption: Figure 3: Summary of results of the hematuria investigations (VH: visible hematuria; USS: ultrasound scan; CTU: computed tomography urogram
; TCC: transitional cell carcinoma, BN: bladder neck; AML: angiomyolipoma).
The rationale for this analysis is that all these sites are amenable to detection by the same imaging modality (CT or MR of abdomen/pelvis with urogram
The stages of chronic kidney disease are evaluated on the basis of ultrasonography and not on the basis of CT as CT urogram
can result in contrast induced nephropathy.
Recommended imaging studies include renal ultrasound with radiography comment on ureteral jets and computed tomography urogram
if creatinine levels are normal.
A CT urogram
revealed a huge, lobulated, heterogeneous, complex left renal mass 16 cm x 11 cm on coronal section and 12.4 cm x 9.6 cm on axial view with cystic components, septations, and no excretion of contrast from the same kidney.
In view of the renal function, Urinary CT Scan and intravenous urogram
were used for evaluating of the renal anatomy and size and location of the stone.
Imaging modalities include CT scanning, intravenous urogram
, and cystography.
Ultrasound, intravenous urogram
and DTPA Scanwere carried out.
A CT/MR urogram
and cystoscopy were performed if MH was present beyond 12 months (mo.).
Objectively all patients were followed up by intravenous urogram
stress renogram Urine C/S.
A CT urogram
showed contrast uptake with renal parenchyma in the 'cyst'.