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British Journal of Radiology (1995) 68, 318-320
© 1995 British Institute of Radiology
doi: 10.1259/0007-1285-68-807-318
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Diffuse fatty infiltration of the renal parenchyma secondary to bilateral angiomyolipomas— features on ultrasound and computed tomography

D M A Jackson, BSc, MRCP C D Collins, MRCPI, FRCR * and D O Cosgrove, FRCP, FRCR

Department of Diagnostic Radiology, Royal Postgraduate Medical School, Hammersmith Hospital, London W12 0HS, UK

A case is described where ultrasound demonstrated diffusely increased echogenicity in massively enlarged kidneys. Computed tomography confirmed fatty replacement of the renal parenchyma, allowing a confident diagnosis of multiple bilateral angiomyolipomas in a clinical setting of tuberous sclerosis. This is the first ultrasound demonstration of such diffusely echogenic kidneys in angiomyolipoma.

* Current address: Department of Diagnostic Radiology,Christie Hospital NHS Trust, Wilmslow Road,Manchester M20 4BX, UK.

Received for publication July 12, 1994. Revision received October 21, 1994. Accepted for publication November 2, 1994.






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