1. Findings
IVP – Delayed Excretory Phase Drooping Lily -Delayed Opacification Dilated Upper Pole Calyces TB
54year-old male presents with back pain and know history of TB. IVP in the late (20minute) excretory phase shows downward displacement of the lower pole calyces of the right kidney, and progressive -filling with contrast of the significantly hydronephrotic amorphous rotund middle calyces and suggestion of slow filling of minimally hydronephrotic upper pole calyces as a result of extrinsic compression from the severely dilated mid system. In addition, there is significant loss of height of L3 with significant degenerative change at the L3-4 level
These finding are consistent with TB of the kidney manifesting with infundibular stenosis of the mid calyces with primary severe obstruction in the middle calyces and secondary milder hydronephrosis of the upper pole calyces
Ashley Davidoff MD TheCommonVein.net 115868b
54year-old male presents with back pain and know history of TB. IVP in the late (20minute) excretory phase shows downward displacement of the lower pole calyces of the right kidney, and progressive -filling with contrast of the significantly hydronephrotic amorphous rotund middle calyces and suggestion of slow filling of minimally hydronephrotic upper pole calyces as a result of extrinsic compression from the severely dilated mid system. In addition, there is significant loss of height of L3 with significant degenerative change at the L3-4 level
These finding are consistent with TB of the kidney manifesting with infundibular stenosis of the mid calyces with primary severe obstruction in the middle calyces and secondary milder hydronephrosis of the upper pole calyces
Ashley Davidoff MD TheCommonVein.net 115868b