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Exclusion of urolithiasis in the presence of contrast media using dual energy

posted by Axel Kuettner, M.D. | Aug 28, 2009
Axel Kuettner, M.D.
  • [1] Conventional 5 mm axial image of the lower pole of the kidneys. In the right kidney, the hyperenhancing area could be a calcified nodule.
  • exclusion-of-urolithiasis-in-the-presence-of-contrast-media-using-dual-energy-2[2] High resolution coronal reconstruction displays a nodular hyperenhancing nodule.
  • [3] High resolution sagittal reconstruction confirms the presence of a nodular hyperenhancing nodule, making the diagnosis of a renal calculus likely.
  • [4] Virtual non-enhanced analysis shows that the major component of the nodular formation is iodine, which is no longer present in the virtual non-enhanced image.

Case history: 45-year-old female with cholangiocellular carcinoma and known peritoneal carcinosis presents for follow-up scan post surgery and post chemotherapy. Question: Can virtual non-enhanced imaging confirm the presence of a small renal stone in the lower pole of the right kidney found incidentally? Read more