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Type 1 Primary Hyperoxaluria in Pediatric Patients: Renal Sonographic Patterns

Ousséini Diallo1, Françoise Janssens2, Michelle Hall2 and E. Fred Avni1,3

1 Department of Pediatric Imaging, Queen Fabiola Children's Hospital, Av. J.J. Crocq, Brussels 1020, Belgium.
2 Department of Pediatric Nephrology, Queen Fabiola Children's Hospital, Brussels 1020, Belgium.
3 Department of Medical Imaging, Erasme Hospital, University Clinics of Brussels, 808 Route de Lennik, Brussels 1070, Belgium.



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  		Fig. 1. —10-year-old girl with medullary nephrocalcinosis. Sagittal sonogram of left kidney shows hyperechogenicity of all pyramids.

 


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  		Fig. 2. —12-year-old girl with medullary nephrocalcinosis. Sagittal sonogram of right kidney shows that not all pyramids are hyperechoic.

 


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  		Fig. 3. —2-week-old boy with cortical nephrocalcinosis. Sagittal sonogram of right kidney shows that proximal superficial cortex appears hyperechoic compared with deeper cortex. Note lack of corticomedullary differentiation.

 


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  		Fig. 4. —2-year-old boy with cortical nephrocalcinosis. Sagittal sonogram shows right kidney. Note striking hyperechogenicity of cortex adjacent to liver and acoustic shadowing in deeper areas.

 


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  		Fig. 5. —2-week-old boy with type I primary hyperoxaluria with cortical nephrocalcinosis. Unenhanced CT scan shows spontaneous hyperdensity of cortex.

 

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