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Insights into Imaging
Published in: Insights into Imaging 1/2017

Open Access 01-02-2017 | Pictorial Review

Radiological diagnosis of perinephric pathology: pictorial essay 2015

Authors: Goran Mitreski, Tom Sutherland

Published in: Insights into Imaging | Issue 1/2017

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Abstract

The perinephric space, shaped as an inverted cone, sits between the anterior and posterior renal fasciae. It can play host to a variety of clinical conditions encountered daily in the reporting schedule for a radiologist. Lesions may be classified and diagnosed based on their imaging characteristics, location and distribution. A broad range of differential diagnoses can be attributed to pathology sitting within this space, often without clinical signs or symptoms. An understanding of commonly encountered conditions affecting the perinephric space, along with characteristic imaging findings, can illustrate and often narrow the likely diagnosis. The aim of this essay is to describe commonly encountered neoplastic and non-neoplastic entities involving the perinephric space and to describe their key imaging characteristics.

Teaching Point

• Despite often a bulky disease, perinephric lymphoma does not produce obstruction or stenosis.
• In primarily fatty masses, defects within the renal capsule likely represent angiomyolipoma.
• Consider paraganglioma if biopsy is planned; biopsy may lead to catecholamine crisis.
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Metadata
Title
Radiological diagnosis of perinephric pathology: pictorial essay 2015
Authors
Goran Mitreski
Tom Sutherland
Publication date
01-02-2017
Publisher
Springer Berlin Heidelberg
Published in
Insights into Imaging / Issue 1/2017
Electronic ISSN: 1869-4101
DOI
https://doi.org/10.1007/s13244-016-0536-z

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