Genitourinary Radiology > Kidneys > Parenchymal > Small Kidney > Chronic Medical Renal Disease


Chronic Medical Renal Disease

 

It is rarely possible to differentiate between the different etiologies of chronic medical renal disease. It presents as bilaterally small, smooth, and hyperechoic kidneys without focal scarring.

A small right kidney (arrow) with uniformly thin renal cortex and marked increased cortical echogenicity all points to a chronic insult to this kidney. L = liver. The left kidney demonstrated similar findings in this patient with chronic kidney disease.


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