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. 2002 Mar-Apr;26(2):232-6.
doi: 10.1097/00004728-200203000-00012.

MR findings of renal cortical necrosis

Jun Yong Jeong  1 , Seung Hyup Kim, Jung Suk Sim, Hak Jong Lee, Kyung-Hyun Do, Min Hoan Moon, Dong Kyung Lee, Chang Kyu Seong
Affiliations

MR findings of renal cortical necrosis

Jun Yong Jeong et al. J Comput Assist Tomogr. 2002 Mar-Apr.

Abstract

Purpose: Evaluating the MR findings of renal cortical necrosis was the purpose of this study.

Method: Eight series of T1-/T2-weighted (n = 8) and contrast-enhanced T1-weighted (n = 4) MR images in six patients with renal cortical necrosis diagnosed by renal biopsy (n = 4) or on clinical grounds (n = 2) were reviewed. In those who had follow-up MRI (n = 2) or comparable CT (n = 3), interval changes of MR findings and comparison with CT images were done.

Results: Swollen kidney with dark signal intensity rim involving the inner cortex and column of Bertin was noted on T2-and T1-weighted images. It was more conspicuous on T2-weighted images. The lesion did not enhance and was differentiated from uninvolved renal parenchyma. In the follow-up MRI, thickened dark signal intensity was more prominent and proved to be calcification or fibrosis.

Conclusion: MRI, especially T2-weighted and contrast-enhanced T1-weighted imaging, was helpful in evaluating renal cortical necrosis.

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