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Increased Echogenicity of Renal Cortex: A Transient Feature in Acutely Ill Children

F. Wiersma1,2, B. R. Toorenvliet3,4, M. Ruige5 and H. C. Holscher2,6

1 Department of Radiology, Haga Teaching Hospital, Location Leyweg, Leyweg 275, 2545 CH, The Hague, The Netherlands.
2 Department of Radiology, Leiden University Medical Centre, Leiden, The Netherlands.
3 Department of Surgery, Haga Teaching Hospital, Location Leyweg, The Hague, The Netherlands.
4 Present address: Department of Surgery, Leiden University Medical Centre, Leiden, The Netherlands.
5 Department of Pediatrics, Haga Teaching Hospital, Location Juliana Children's Hospital, The Hague, The Netherlands.
6 Department of Radiology, Haga Teaching Hospital. Location Juliana Children's Hospital, The Hague, The Netherlands.


Figure 1
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  		Fig. 1 —10-year-old boy with appendicitis. Sonogram of right kidney in longitudinal plane shows renal cortex echogenicity equal to that of liver parenchyma.

 

Figure 2
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  		Fig. 2A —13-year-old girl with appendicitis. Sonogram shows renal cortex echogenicity is higher than that of liver parenchyma.

 

Figure 3
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  		Fig. 2B —13-year-old girl with appendicitis. After appendectomy, follow-up sonogram shows renal cortex echogenicity has returned to normal.

 

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