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High-density renal cysts in autosomal dominant polycystic kidney disease demonstrated by CT

Conference · · Radiology; (United States)
OSTI ID:5752105

Unenhanced abdominal CT scans of 35 patients with autosomal dominant polycystic kidney disease (ADPKD) showed multiple high-density (58-84 HU) renal cysts in 42.9% of patients, occasional high-density cysts in 25.7%, and no high-density cysts in 31.4%. These high-density cysts were usually subcapsular and were more frequent in patients with markedly enlarged kidneys and flank pain at the time of CT. Follow-up CT often showed a reduction in cyst densities, although some cysts developed mural calcification and calcification of their contents. Renal carcinomas occur rarely in ADPKD and may occasionally be hyperdense. However, high-density cysts may usually be distinguished from carcinomas on CT by their smooth contours, sharp interfaces with renal parenchyma, homogeneity, and lack of contrast enhancement.

Research Organization:
Univ. of Kansas College of Health Sciences, Kansas City
OSTI ID:
5752105
Report Number(s):
CONF-841170-
Journal Information:
Radiology; (United States), Journal Name: Radiology; (United States) Vol. 154:2; ISSN RADLA
Country of Publication:
United States
Language:
English

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