eMedicine Specialties > Radiology > Genitourinary

Autosomal Recessive Polycystic Kidney Disease: Multimedia

Author: Ben Y Young, MD, Clinical Assistant Instructor, Staff Physician, Department of Radiology, Stony Brook University Hospital
Coauthor(s): Steven Perlmutter, MD, FACR, Associate Professor of Clinical Radiology, School of Medicine at Stony Brook University; Medical Director of Radiology, Peconic Bay Medical Center; Thomas H Smith, MD, Associate Professor, Departments of Radiology and Pediatrics, State University of New York at Stony Brook
Contributor Information and Disclosures

Updated: Apr 24, 2008

Multimedia

Autosomal recessive polycystic kidney disease (AR...Media file 1: Autosomal recessive polycystic kidney disease (ARPKD). Abdominal radiograph demonstrates bilateral flank masses in a 3-day-old boy with ARPKD.
Autosomal recessive polycystic kidney disease (AR...

Autosomal recessive polycystic kidney disease (ARPKD). Abdominal radiograph demonstrates bilateral flank masses in a 3-day-old boy with ARPKD.

Autosomal recessive polycystic kidney disease (AR...Media file 2: Autosomal recessive polycystic kidney disease (ARPKD). Excretory urogram of the same patient as in Image 1 demonstrates excretion into the bilaterally massively enlarged kidneys (arrows), with distorted pelvocalyceal systems and the vague suggestion of striated nephrograms.
Autosomal recessive polycystic kidney disease (AR...

Autosomal recessive polycystic kidney disease (ARPKD). Excretory urogram of the same patient as in Image 1 demonstrates excretion into the bilaterally massively enlarged kidneys (arrows), with distorted pelvocalyceal systems and the vague suggestion of striated nephrograms.

Autosomal recessive polycystic kidney disease (AR...Media file 3: Autosomal recessive polycystic kidney disease (ARPKD). Axial nonenhanced CT scan of a 1-day-old boy with ARPKD shows massively enlarged, hypoattenuating kidneys (K) that occupy most of the abdominal area.
Autosomal recessive polycystic kidney disease (AR...

Autosomal recessive polycystic kidney disease (ARPKD). Axial nonenhanced CT scan of a 1-day-old boy with ARPKD shows massively enlarged, hypoattenuating kidneys (K) that occupy most of the abdominal area.

Autosomal recessive polycystic kidney disease (AR...Media file 4: Autosomal recessive polycystic kidney disease (ARPKD). Obstetric sonogram demonstrates massively enlarged kidneys (arrows) in this fetus with ARPKD. The kidneys occupy most of the abdomen. A segment of the fetal spine (S) is seen dorsally. On this sonogram, there is no evidence of oligohydramnios.
Autosomal recessive polycystic kidney disease (AR...

Autosomal recessive polycystic kidney disease (ARPKD). Obstetric sonogram demonstrates massively enlarged kidneys (arrows) in this fetus with ARPKD. The kidneys occupy most of the abdomen. A segment of the fetal spine (S) is seen dorsally. On this sonogram, there is no evidence of oligohydramnios.

Autosomal recessive polycystic kidney disease (AR...Media file 5: Autosomal recessive polycystic kidney disease (ARPKD). Coronal image of the kidneys from the same study as in Image 4. The poles of the enlarged kidney are marked by the cursors of the electronic calipers used to measure the length of the kidneys.
Autosomal recessive polycystic kidney disease (AR...

Autosomal recessive polycystic kidney disease (ARPKD). Coronal image of the kidneys from the same study as in Image 4. The poles of the enlarged kidney are marked by the cursors of the electronic calipers used to measure the length of the kidneys.

Autosomal recessive polycystic kidney disease (AR...Media file 6: Autosomal recessive polycystic kidney disease (ARPKD). Sagittal sonogram through the enlarged right kidney (arrows) of a 1-day-old boy with ARPKD. There is echogenic parenchyma with loss of the normal hypoechoic medullary pyramids and loss of the corticomedullary differentiation. Note that the kidney contour is regular without focal masses.
Autosomal recessive polycystic kidney disease (AR...

Autosomal recessive polycystic kidney disease (ARPKD). Sagittal sonogram through the enlarged right kidney (arrows) of a 1-day-old boy with ARPKD. There is echogenic parenchyma with loss of the normal hypoechoic medullary pyramids and loss of the corticomedullary differentiation. Note that the kidney contour is regular without focal masses.

Autosomal recessive polycystic kidney disease (AR...Media file 7: Autosomal recessive polycystic kidney disease (ARPKD). Image from the same patient shown in Image 6. Oblique sonographic image through the liver (L), gallbladder (G), and right kidney (K) demonstrates a kidney that is more echogenic than the liver, without hypoechoic medullary pyramids.
Autosomal recessive polycystic kidney disease (AR...

Autosomal recessive polycystic kidney disease (ARPKD). Image from the same patient shown in Image 6. Oblique sonographic image through the liver (L), gallbladder (G), and right kidney (K) demonstrates a kidney that is more echogenic than the liver, without hypoechoic medullary pyramids.

Autosomal recessive polycystic kidney disease (AR...Media file 8: Autosomal recessive polycystic kidney disease (ARPKD). Sonogram through the long axis of the left kidney. Arrowheads and electronic calipers mark the contour of the kidney. This image is of the same patient seen in Images 6-7. It demonstrates an enlarged echogenic kidney with a discrete hypoechoic cyst (arrow).
Autosomal recessive polycystic kidney disease (AR...

Autosomal recessive polycystic kidney disease (ARPKD). Sonogram through the long axis of the left kidney. Arrowheads and electronic calipers mark the contour of the kidney. This image is of the same patient seen in Images 6-7. It demonstrates an enlarged echogenic kidney with a discrete hypoechoic cyst (arrow).

Autosomal recessive polycystic kidney disease (AR...Media file 9: Autosomal recessive polycystic kidney disease (ARPKD). Sagittal sonogram in a newborn girl with ARPKD shows a massively enlarged right kidney (arrowheads) that measures 10.2 cm in length. They kidney is echogenic with loss of the normal corticomedullary junction.
Autosomal recessive polycystic kidney disease (AR...

Autosomal recessive polycystic kidney disease (ARPKD). Sagittal sonogram in a newborn girl with ARPKD shows a massively enlarged right kidney (arrowheads) that measures 10.2 cm in length. They kidney is echogenic with loss of the normal corticomedullary junction.

Autosomal recessive polycystic kidney disease (AR...Media file 10: Autosomal recessive polycystic kidney disease (ARPKD). Transaxial section through the same kidney (arrowheads) as in Image 9 demonstrates a very echogenic kidney with loss of the corticomedullary junction. Foci of intense echogenicity (arrows) may be due to the acoustic interfaces at the walls of tiny cysts or to focal renal calcification.
Autosomal recessive polycystic kidney disease (AR...

Autosomal recessive polycystic kidney disease (ARPKD). Transaxial section through the same kidney (arrowheads) as in Image 9 demonstrates a very echogenic kidney with loss of the corticomedullary junction. Foci of intense echogenicity (arrows) may be due to the acoustic interfaces at the walls of tiny cysts or to focal renal calcification.

Autosomal recessive polycystic kidney disease (AR...Media file 11: Autosomal recessive polycystic kidney disease (ARPKD). Sagittal sonogram through the kidney of a newborn boy with ARPKD and pulmonary hypoplasia demonstrates a hypoechoic rim along the periphery of the kidney (arrows).
Autosomal recessive polycystic kidney disease (AR...

Autosomal recessive polycystic kidney disease (ARPKD). Sagittal sonogram through the kidney of a newborn boy with ARPKD and pulmonary hypoplasia demonstrates a hypoechoic rim along the periphery of the kidney (arrows).

Autosomal recessive polycystic kidney disease (AR...Media file 12: Autosomal recessive polycystic kidney disease (ARPKD). Sagittal sonogram through the other kidney of the newborn shown in Image 11 reveals echogenic pyramids (arrows) that mimic medullary nephrocalcinosis.
Autosomal recessive polycystic kidney disease (AR...

Autosomal recessive polycystic kidney disease (ARPKD). Sagittal sonogram through the other kidney of the newborn shown in Image 11 reveals echogenic pyramids (arrows) that mimic medullary nephrocalcinosis.

Autosomal recessive polycystic kidney disease (AR...Media file 13: Autosomal recessive polycystic kidney disease (ARPKD). Sagittal sonogram of the 10.6-cm, elongated left kidney of the newborn girl shown in Images 9-10 demonstrates an echogenic kidney with a discrete hypoechoic cyst (arrow).
Autosomal recessive polycystic kidney disease (AR...

Autosomal recessive polycystic kidney disease (ARPKD). Sagittal sonogram of the 10.6-cm, elongated left kidney of the newborn girl shown in Images 9-10 demonstrates an echogenic kidney with a discrete hypoechoic cyst (arrow).

Autosomal recessive polycystic kidney disease (AR...Media file 14: Autosomal recessive polycystic kidney disease (ARPKD). Hepatic sonogram of a child with ARPKD demonstrates both tubular and round dilated hepatic ducts (arrows).
Autosomal recessive polycystic kidney disease (AR...

Autosomal recessive polycystic kidney disease (ARPKD). Hepatic sonogram of a child with ARPKD demonstrates both tubular and round dilated hepatic ducts (arrows).

Autosomal recessive polycystic kidney disease (AR...Media file 15: Autosomal recessive polycystic kidney disease (ARPKD). Image of the same patient seen in Image 14 demonstrates a nodular protrusion of tissue into a dilated hepatic duct (arrow).
Autosomal recessive polycystic kidney disease (AR...

Autosomal recessive polycystic kidney disease (ARPKD). Image of the same patient seen in Image 14 demonstrates a nodular protrusion of tissue into a dilated hepatic duct (arrow).

More on Autosomal Recessive Polycystic Kidney Disease

Overview: Autosomal Recessive Polycystic Kidney Disease
Imaging: Autosomal Recessive Polycystic Kidney Disease
Follow-up: Autosomal Recessive Polycystic Kidney Disease
Multimedia: Autosomal Recessive Polycystic Kidney Disease
References

References

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Further Reading

Keywords

autosomal recessive polycystic kidney disease, ARPKD, PDK, infantile polycystic kidney disease, polycystic disease of the newborn, hamartomatous form of polycystic kidney disease, polycystic kidney disease, Potter type I, chromosome 6, PKHD1, perinatal ARPKD, neonatal ARPKD, infantile ARPKD, juvenile ARPKD

Contributor Information and Disclosures

Author

Ben Y Young, MD, Clinical Assistant Instructor, Staff Physician, Department of Radiology, Stony Brook University Hospital
Ben Y Young, MD is a member of the following medical societies: American College of Radiology
Disclosure: Nothing to disclose.

Coauthor(s)

Steven Perlmutter, MD, FACR, Associate Professor of Clinical Radiology, School of Medicine at Stony Brook University; Medical Director of Radiology, Peconic Bay Medical Center
Steven Perlmutter, MD, FACR is a member of the following medical societies: American College of Radiology, American Institute of Ultrasound in Medicine, American Medical Association, American Roentgen Ray Society, Association of Program Directors in Radiology, Association of University Radiologists, Medical Society of the State of New York, Radiological Society of North America, Society of Breast Imaging, Society of Nuclear Medicine, and Society of Uroradiology
Disclosure: Nothing to disclose.

Thomas H Smith, MD, Associate Professor, Departments of Radiology and Pediatrics, State University of New York at Stony Brook
Thomas H Smith, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Radiology, American Medical Association, Radiological Society of North America, and Society for Pediatric Radiology
Disclosure: Nothing to disclose.

Medical Editor

John L Haddad, MD, Clinical Associate Professor, Department of Radiology, Weill Medical College of Cornell University; Director of Body MRI, Department of Radiology, Methodist Hospital in Houston
John L Haddad, MD is a member of the following medical societies: American College of Radiology, American Medical Association, and Radiological Society of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Joshua A Becker, MD, Professor, Department of Radiology, New York University School of Medicine
Joshua A Becker, MD is a member of the following medical societies: Society of Uroradiology
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Radiologist, Virginia Mason Medical Center; Clinical Assistant Professor of Radiology, University of Washington School of Medicine
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
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