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Ultrasound Showed Shadow In Kidney In Lower Pole, Renal Pelvis Area. Recommended CT Scan. Cause?

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Posted on Tue, 15 Oct 2013
Question: I recently had an ultrasound and there was a shadow of "prominence" showing up in my right kidney in the lower pole, renal pelvis area. The radiologist recommended a CT scan to evaluate further. What are the possible reasons for the shadow showing up on the right kidney? Thank you for your time.
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Answered by Dr. Manuel C See IV (2 hours later)
Brief Answer:
Primary consideration for shadowing is stones.

Detailed Answer:
Good Day!

Primary consideration for shadowing in a kidney ultrasound are kidney stones. Kidney stones is the most common cause of shadowing when the ultrasound transducer hits the stone, it will cause shadowing.

Another diagnosis that could produce a shadowing would be a prominent column of bertin. This is a normal condition where in the structures inside the kidney are more prominent than usual. This prominence would reflect on the ultrasound as shadowing also.

I would also suggest getting a CT scan since it has 95% chance of detecting even the smallest kidney stones or lesions. It would give us a right diagnosis and a peace of mind. I Hope I have answered your question and thank you very much.
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Manuel C See IV

Urologist

Practicing since :2005

Answered : 909 Questions

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Ultrasound Showed Shadow In Kidney In Lower Pole, Renal Pelvis Area. Recommended CT Scan. Cause?

Brief Answer:
Primary consideration for shadowing is stones.

Detailed Answer:
Good Day!

Primary consideration for shadowing in a kidney ultrasound are kidney stones. Kidney stones is the most common cause of shadowing when the ultrasound transducer hits the stone, it will cause shadowing.

Another diagnosis that could produce a shadowing would be a prominent column of bertin. This is a normal condition where in the structures inside the kidney are more prominent than usual. This prominence would reflect on the ultrasound as shadowing also.

I would also suggest getting a CT scan since it has 95% chance of detecting even the smallest kidney stones or lesions. It would give us a right diagnosis and a peace of mind. I Hope I have answered your question and thank you very much.