Calyceal crescent sign (intravenous pyelogram)
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The calyceal crescent sign (Dunbar crescents(of Dunbar and Nogrady) refers to the early intravenous pyelogram (IVP) appearance of markedly dilated renal calyces. It is formed by early contrast opacification of the dilated collecting ducts and ducts of Bellini with the characteristic shape as a result of the associated enlarged calyces.
This appearance can be appreciated on IVP and CT contrast excretory phase and becomes isoattenuating to the parenchyma as the kidney opacifies.
It is a marker of elevated pressure within the renal pelvis and is an important indicator as to whether the renal function is recoverable.
History and etymology
First described by Canadian paediatric radiologistradiologists JSJ S Dunbar (with and MBM B Nogrady) in 1970 3.
-<p>The <strong>calyceal crescent sign</strong> (Dunbar crescents) refers to the early intravenous pyelogram (IVP) appearance of markedly dilated <a href="/articles/renal-calyces">renal calyces</a>. It is formed by early contrast opacification of the dilated <a href="/articles/collecting-ducts">collecting ducts</a> and <a href="/articles/ducts-of-bellini">ducts of Bellini</a> with the characteristic shape as a result of the associated enlarged calyces. </p><p>This appearance can be appreciated on IVP and CT contrast excretory phase and becomes isoattenuating to the parenchyma as the kidney opacifies.</p><p>It is a marker of elevated pressure within the renal pelvis and is an important indicator as to whether the renal function is recoverable.</p><h4>History and etymology</h4><p>First described by Canadian paediatric radiologist <strong>JS Dunbar</strong> (with <strong>MB Nogrady</strong>) in 1970 <sup>3</sup>.</p>- +<p>The <strong>calyceal crescent sign</strong> <strong>(of Dunbar and Nogrady)</strong> refers to the early <a href="/articles/intravenous-urography" title="Intravenous pyelogram">intravenous pyelogram (IVP)</a> appearance of <a href="/articles/hydronephrosis" title="Hydronephrosis">markedly dilated renal calyces</a>. It is formed by early contrast opacification of the dilated collecting ducts and ducts of Bellini with the characteristic shape as a result of the associated enlarged calyces. </p><p>This appearance can be appreciated on IVP and CT contrast excretory phase and becomes isoattenuating to the parenchyma as the kidney opacifies.</p><p>It is a marker of elevated pressure within the renal pelvis and is an important indicator as to whether the renal function is recoverable.</p><h4>History and etymology</h4><p>First described by Canadian paediatric radiologists <strong>J S Dunbar</strong> and <strong>M B Nogrady</strong> in 1970 <sup>3</sup>.</p>
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