Articles

Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and continuously improved upon by countless contributing members. Our dedicated editors oversee each edit for accuracy and style. Find out more about articles.

68 results found
Article

Testicular cancer

Testicular cancers are the most common malignancy in men between the ages of 20 and 34 years. Epidemiology Testicular cancer is uncommon, accounting for less than 1% of all internal organ malignancies 2. The commonest histology of the tumor varies with the age of affected individuals. Over 90...
Article

Prostatomegaly

Prostatomegaly is a term used to generally describe enlargement of the prostate gland from whatever cause. Usually, the prostate is considered enlarged on imaging when its volume measures beyond 30 cc (mL).  Terminology The term prostatomegaly is often used interchangeably with benign prostati...
Article

Penile calcification

Penile calcifications are a relatively rare finding. The commonest cause is Peyronie disease. Pathology Etiology Peyronie disease penile calciphylaxis (considered by some to be a form of calcinosis cutis) penile urethral calculus calcinosis cutis of the penis idiopathic calcinosis cutis o...
Article

Medical devices in the abdomen and pelvis

Medical devices in the abdomen and pelvis are important to be recognized, just like medical devices of the chest. We often ignore these devices, considering them to be incidental and non-pathological, however it is essential to be aware of potential complications. Gastrointestinal devices tube...
Article

T1 hyperintense renal lesions

T1 hyperintense renal lesions are a group of lesions that show high signal characteristics on T1-weighted MRI compared to the adjacent normal renal parenchyma. The differential diagnoses for this group include: hemorrhagic and/or highly proteinaceous renal cyst papillary renal cell carcinoma ...
Article

Empyema

Empyemas are purulent inflammatory collections within a body cavity. Contrast this with abscesses, which arise within parenchymal tissue, rather than occupying a pre-existing anatomical space. Terminology Colloquially, the standalone term empyema is used to refer to thoracic empyemas but there...
Article

Hydronephrosis

Hydronephrosis (plural: hydronephroses) is defined as dilatation of the urinary collecting system of the kidney (the calyces, the infundibula, and the pelvis) 1. Hydronephrosis in fetuses and newborns has specific causes that are covered in a separate article. Terminology The term hydroureter...
Article

Urinary bladder wall thickening

Urinary bladder wall thickening is a common finding and its significance depends on whether the bladder is adequately distended. Radiographic features Ultrasound In both adults and children, the wall may be considered thickened on ultrasound if it measures 6: >3 mm when distended (>25% expec...
Article

Loss of corticomedullary differentiation

A loss of corticomedullary differentiation is an imaging feature where renal cortex and medulla is no longer able to be seen as different structures. Pathology It can be detected usually by ultrasound or MRI (and in some instances on contrast CT) with a large number of variable pathological c...
Article

Inflammatory myofibroblastic tumors of the urogenital system

Inflammatory myofibroblastic tumors (IMTs) of the urogenital system are rare benign lesions, and just a few cases are reported with spermatic cord, scrotal and penile origins 1. Please refer to the article on inflammatory myofibroblastic tumors for a broad discussion.  Clinical presentation ...
Article

Renal pseudotumor

Renal pseudotumors simulate a tumor on imaging but are composed of non-neoplastic tissue. Differential diagnosis There are many examples 1-3: Developmental prominent column of Bertin persistent fetal lobulation dromedary hump splenorenal fusion cross-fused renal ectopia renal hilar lip...
Article

Fat-containing renal lesions

There are numerous fat-containing renal lesions, including: renal angiomyolipoma renal cell carcinoma (often has calcifications when contains macroscopic fat) Wilms tumor renal oncocytoma renal or perirenal lipoma/liposarcoma Non-mass lesions may also occasionally contain fat: renal junct...
Article

Valsalva maneuver

The Valsalva maneuver is the forced expiration of air against a closed airway, resulting in increased intra-abdominal, intrathoracic, and pharyngeal pressure. It can be performed against a closed glottis or by one closing the mouth and pinching the nose while forcibly exhaling. It is commonly u...
Article

Obstructive uropathy

An obstructive uropathy is a catch-all term encompassing any cause of complete or partial, congenital or acquired, and permanent or intermittent obstruction of the urinary tract. Depending on the severity of obstruction and extent, it may result in permanent change in both the collecting system ...
Article

Bilateral renal enlargement

Bilateral renal enlargement, also known as nephromegaly, can arise from many causes including 1,2: Smooth enlargement diabetic nephropathy (common) acute pyelonephritis renal involvement with lymphoma acute interstitial nephritis acute glomerulonephritis acute urate nephropathy vasculiti...
Article

Increased renal echogenicity

Increased renal echogenicity is a non-specific finding but can represent a number of underlying conditions. These include: normal variation renal amyloidosis chronic kidney disease: increased cortical echogenicity sickle cell disease 4 HIV nephropathy See also echoge...
Article

Renal cortical defect

Renal cortical defects have a variety of causes, and present on imaging as an area of focal cortical thinning or absence of renal cortex, sometimes accompanied by focal caliectasis.  Differential diagnosis The differential diagnosis for a renal cortical defect includes 1,2: renal scarring ...
Article

Scrotal infections

The scrotum and its content are subject to a number of infective processes including:  scrotal cellulitis scrotal abscess scrotal wall abscess Fournier gangrene epididymitis epididymo-orchitis orchitis testicular abscess scrotal filariasis
Article

Renal artery stenosis

Renal artery stenosis (RAS) (plural: stenoses) refers to a narrowing of a renal artery. When the process occurs slowly, it leads to secondary hypertension. Acute renal artery stenosis does not lead to hypersecretion of renin. Pathology When the stenosis occurs slowly, collateral vessels form a...
Article

Urinary bladder cyst

Urinary bladder cysts are considered tumor-like lesions and true simple cysts arising from the bladder wall are extremely rare 1. Pathology Three types of cysts have been described 1: urachal cysts: dome and anterior wall cloacal cysts: posterior wall simple cyst of the bladder wa...

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