Lymphoproliferative Neoplasms

  • Clara G. C. Ooi
  • Ali Guermazi
Part of the Medical Radiology book series (MEDRAD)

19.9 Conclusion

Renal involvement in myeloproliferative and lymphoproliferative disorders is generally not routinely imaged, as in most instances they are asymptomatic owing to preserved renal function. Symptoms arise as a result of compression, renal obstruction, infection, or hemorrhage. Ultrasound and CT remain the imaging modalities of choice due to their availability, relatively short scan times, and reduced costs compared with MR imaging. Computed tomography in particular is extremely good at depicting renal, perirenal, and intra-abdominal pathology. However, nuclear medicine imaging, particularly PET, is proving useful in post-treatment monitoring of disease activity. Although there are no specific imaging features that differentiate these entities from other disease processes that can affect the kidney, in general, leukemia and lymphoma are iso- or hypoechoic on US, and iso- or hypodense on CT. Lymphomas are hypovascular, showing minimal or no enhancement after contrast administration on CT. Extramedullary plasmacytomas are hetero-geneous on US, isodense on CT, and demonstrate heterogeneous enhancement.


Multiple Myeloma Acute Myeloid Leukemia Renal Involvement Granulocytic Sarcoma Hodgkin Disease 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2006

Authors and Affiliations

  • Clara G. C. Ooi
    • 1
  • Ali Guermazi
    • 2
  1. 1.Department of Diagnostic Radiology, Queen Mary HospitalUniversity of Hong KongHong Kong SARChina
  2. 2.Oncology Services, Department of Radiology ServicesSynarc Inc.San FranciscoUSA

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