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Fig. 3 | BMC Nephrology

Fig. 3

From: Diagnostic accuracy of contrast-enhanced ultrasound for characterization of kidney lesions in patients with and without chronic kidney disease

Fig. 3

Complex cystic lesions in 2 patients with chronic kidney disease of different severity. Sagittal CEUS images of two patients with complex cystic lesions, called Bosniak IV by both readers (long arrows). Mural nodularity (dashed arrows) is present in both cysts. Both lesions were confirmed as RCC on pathology. However, the 72-year old woman in 3a had early kidney disease, and the non-neoplastic kidney parenchyma (short arrow) in this case demonstrates homogeneous enhancement. 3b is a case of a 67-year old man with advanced kidney disease on dialysis in which the kidney parenchyma appears very different, demonstrating reduced, patchy enhancement (short arrow)

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