Subramanyam B R, Bosniak M A, Horii S C, Megibow A J, Balthazar E J
Radiology. 1983 Sep;148(3):791-2. doi: 10.1148/radiology.148.3.6878703.
The sonographic and computed tomographic features in a case of replacement lipomatosis of the kidney are presented, along with pathologic correlation. Computed tomography demonstrated a staghorn calculus and marked atrophy of the renal parenchyma, along with diffuse increase in renal sinus and perirenal fat. Sonography showed thinning of the renal parenchyma and high-amplitude echoes throughout the kidney, corresponding to the increase in renal sinus fat. The prospective diagnosis of replacement lipomatosis, and differentiation from other causes of nonfunction of the kidney due to staghorn calculus, can be readily made.
本文介绍了一例肾替代脂肪增多症的超声和计算机断层扫描特征，并与病理结果进行了对照。计算机断层扫描显示鹿角形结石和肾实质明显萎缩，同时肾窦和肾周脂肪弥漫性增加。超声检查显示肾实质变薄，整个肾脏出现高回声，这与肾窦脂肪增加相对应。肾替代脂肪增多症的前瞻性诊断以及与鹿角形结石导致的肾脏无功能的其他原因的鉴别诊断很容易做出。
