MR Imaging of Focal Medullary Sponge Kidney: Case Report

  • HIDA Tomoyuki
    Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University
  • NISHIE Akihiro
    Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University
  • ASAYAMA Yoshiki
    Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University
  • ISHIGAMI Kousei
    Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University
  • FUJITA Nobuhiro
    Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University
  • INOKUCHI Junichi
    Department of Urology, Graduate School of Medical Sciences, Kyushu University
  • NAITO Seiji
    Department of Urology, Graduate School of Medical Sciences, Kyushu University
  • ANDO Sadamu
    Department of Urology, Kitakyushu Municipal Medical Center
  • HONDA Hiroshi
    Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University

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抄録

We present a case of focal medullary sponge kidney (MSK) that mimicked a renal tumor. Evaluation of a patient with history of macrohematuria revealed a left renal mass of 3-cm diameter. T1-weighted magnetic resonance (MR) images revealed a mass of mixed intensity protruding toward the renal sinus. On fat-saturated T2-weighted MR images, the lesion's remarkable hyperintensity suggested the presence of an aggregation of tiny cysts. On diffusion-weighted MR images, the mass also demonstrated high intensity, and its apparent diffusion coefficient was partly decreased (1.12×10−3 mm2/s). On computed tomography, precontrast images revealed no calcification in the mass. Although slight enhancement was seen in the corticomedullary phase, thick and dense streaks of contrast radiating peripherally were identified in the mass in the excretory phase. Focal MSK was diagnosed. We discuss the potential of MR imaging for diagnosing focal MSK.<br>

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