Renal & Aorta US - Retroperitoneal Complete
(last edited 10/19/2017)
(last reviewed 10/19/2017)
- 3 Sagittal right kidney- medial, mid, and lateral (measure length and AP dimension) Include spleen/kidney interface
- Sag right kidney color doppler
- 3 Transverse right kidney- upper, mid, lower (measure width dimension)
- 3 Sagittal left kidney- medial, mid, and lateral (measure length and AP dimension) Include liver/kidney interface
- Sag left kidney color doppler
- 3 Transverse left kidney- upper, mid, lower (measure width dimension)
- 4 Sagittal aorta - prox, mid, distal and bifurcation
- 4 Transverse aorta - prox, mid, distal and bifurcation with AP measurements
- Use color and doppler interrogation of the kidneys and aorta, as necessary
Kidneys:
Sagittal views of the kidneys, three images. Measure longitudinal dimension. Transverse view of the kidneys (upper, mid, and lower poles) in this order and label.Aorta:
Sagittal and transverse views of proximal, mid and distal segments and bifurcationAneurysm- measure the AP and width on transverse view. Show level of renal arteries, if possible.
- an abnormality should be shown in sag and trans, (ie: renal stone, cyst, angiomyolipoma, solid mass). Measure in longest dimension if 1cm or less. If greater than 1 cm, measure in three dimensions. (AP and length on sagittal view, width on transverse view)
- show the liver/kidney interfacee for echogenicity comparison.
-- If hydronephrosis is present, look at bladder. If the bladder is full, empty bladder and reimage the kidneys