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Diagnosis of Renal Pelvis Subepithelial Hemorrhage Using Unenhanced Helical CT

Alexi Phinney1,2, Julian Hanson1 and Lee B. Talner1

1 Department of Radiology, Harborview Medical Center, University of Washington School of Medicine, 325 Ninth Ave, Seattle, WA 98104
2 Department of Radiology, Virginia Mason Medical Center, Box 900, Seattle, WA 98111.



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  		Fig. 1A. —41-year-old man receiving anticoagulation therapy who presented with gross hematuria and right-sided flank pain. Unenhanced helical renal CT scan shows high-attenuation thickening of pelviureteric wall caused by hemorrhage (arrows).

 


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  		Fig. 1B. —41-year-old man receiving anticoagulation therapy who presented with gross hematuria and right-sided flank pain. IV contrast-enhanced helical CT scan shows mild calyceal dilatation and constriction of lumen of renal pelvis. Fact that pelviureteral wall thickening (arrows) is caused by hemorrhage is not obvious on contrast-enhanced scan.

 


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  		Fig. 1C. —41-year-old man receiving anticoagulation therapy who presented with gross hematuria and right-sided flank pain. Unenhanced helical renal CT scan obtained during CT urography 1 month before A and B shows renal pelvis with normal appearance (arrows).

 

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