Parenchymal Diseases of the Kidneys

  • Hilary Zarnow
  • Lawrence R. Bigongiari
Part of the Medical Radiology book series (MEDRAD)


Radiologic evaluation does not currently play a primary role in the definitive diagnosis of diseases of the kidney. Specific diagnosis is based upon clinical pattern, laboratory findings, and renal biopsy. Imaging techniques are ancillary procedures used to detect anatomy, assess function, and evaluate for complications or associated abnormalities. The combination of excellent anatomic delineation and information regarding functional status provided by urography, retrograde pyelography, nuclear medical examinations, ultrasound, computed tomography, magnetic resonance imaging, and angiography does not provide results distinctive enough to allow definitive diagnosis. There is significant overlap of findings on any given examination so that even the most specific pattern, i.e., the microaneurysms seen on renal angiograms in polyarteritis nodosa, is also seen in several other entities, such as systemic lupus erythematosus (SLE) and intravenous drug abuse (Longstretch et al. 1974; Halpern 1971; Lignelli and Buchheti 1971).


Acute Tubular Necrosis Polyarteritis Nodosa Acute Interstitial Nephritis Renal Vein Thrombosis Progressive Systemic Sclerosis 
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 1991

Authors and Affiliations

  • Hilary Zarnow
    • 1
  • Lawrence R. Bigongiari
    • 1
  1. 1.Department of Radiology, St. Francis Regional Medical CenterUniversity of KansasWichitaUSA

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