Bilateral renal lymphangiomatosis: Sonographic findings

Bilateral renal lymphangiomatosis: Sonographic findings

J Clin Ultrasound. 2008 May

Bagheri MH, Zare Z, Sefidbakht S, Nabavizadeh SA, Meshksar A, Roozbeh J, Salehipour M.
Department of Radiology, Shiraz University of Medical Sciences, Zand Street, Shiraz, Iran.

*Correspondence to Seyed Ali Nabavizadeh, Department of Radiology, Shiraz University of Medical Sciences, Zand Street, Shiraz, Iran

Renal lymphangiomatosis is an exceedingly rare disorder characterized by developmental malformation of the lymphatic system surrounding the kidneys. We report a case of bilateral renal lymphangiomatosis in a 21-year-old man who underwent abdominal sonographic examination that revealed numerous cystic areas of varyious sizes around both kidneys with extension along the renal hilum. Subsequent abdominal CT examination demonstrated bilateral, multilocular, fluid-filled cystic masses with thin walls in the perirenal and peripelvic region. MRI of the patient revealed bilaterally enlarged kidneys with multiple hyperintense lesions in both perirenal spaces and the peripelvic area on T2-weighted images. These cystic spaces appeared hypointense on T1-weighted images with no enhancement in postcontrast images. The diagnosis of renal lymphangiomatosis was made based on typical imaging findings. (c) 2008 Wiley Periodicals, Inc. J Clin Ultrasound, 2008.

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