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High-Resolution Renal Sonography in Children with Autosomal Recessive Polycystic Kidney Disease

Jeffrey Traubici1 and Alan Daneman

1 Both authors: Department of Diagnostic Imaging, The Hospital for Sick Children, The University of Toronto, 555 University Ave., Toronto, Ontario M5S 1A1, Canada.



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  		Fig. 1A. —12-year-old girl with autosomal recessive polycystic kidney disease. Longitudinal sonogram obtained in lower pole of left kidney using high-frequency linear array transducer shows diffuse pattern of dilated tubules (arrows).

 


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  		Fig. 1B. —12-year-old girl with autosomal recessive polycystic kidney disease. Sonogram of entire kidney obtained using curved array transducer resolves small hypoechoic structures although not to same degree as linear array transducer.

 


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  		Fig. 2A. —Two patients with autosomal recessive polycystic kidney disease and macroscopic cysts. In 7-year-old girl, solitary macroscopic cyst (arrow) and dilated tubules are seen.

 


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  		Fig. 2B. —Two patients with autosomal recessive polycystic kidney disease and macroscopic cysts. In 10-year-old boy, unusual pattern of peripheral macroscopic cysts (arrows) is exhibited.

 


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  		Fig. 3. —4-year-old boy with autosomal recessive polycystic kidney disease. Longitudinal sonogram of right kidney shows punctate foci of increased echogenicity and dilated tubules but relatively preserved cortical rim of tissue.

 


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  		Fig. 4. —7-year-old girl with autosomal recessive polycystic kidney disease. Longitudinal sonogram shows multiple punctate foci of increased echogenicity, with some exhibiting ring-down artifact.

 


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  		Fig. 5. —9-year-old girl with autosomal recessive polycystic kidney disease. Longitudinal sonogram of left kidney shows typical pattern of tubular dilatation. In this case, however, this finding was seen in only one portion of one kidney. Dilated tubules were seen nowhere else in either kidney.

 

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