ID: KidRM-RC_case1
撰寫人：台兒 雷嘉怡放射師
胎兒先天性腎臟病 Case 18
初診日期：2018 年 09月 19日
產前診斷：台兒 周昱青醫師、台兒 劉冠儀放射師、台兒 雷嘉怡放射師、台兒 葛萱放射師、永佳兒童腎臟科 蔡亞秦醫師
產後追蹤：永佳兒童腎臟科 蔡亞秦醫師
Disease: Renal cyst
Indication: Routine second trimester anatomical screening
Basic Information:
- G2P1
- Denied any family history of renal diseases
- Not karyotyped
- First visit at Taiji Clinic: 22+4 weeks of gestation
Size of renal cysts
22+4 weeks: one right renal cyst: 5.3*4.3 mm
27+4 weeks: two right renal cysts: 6.4*5.8 mm, 5.3*3.3 mm
31+4 weeks: two right renal cysts: 7.0*4.9 mm, 5.7*2.6 mm
35+6 weeks: two right renal cysts: 6.8*4.2 mm, 5.5*2.4 mm
Image 1 : Parasagittal view of right kidney.
One well-defined and anechoic lesion (5.3*4.3 mm) (arrow) within right kidney, suspected simple renal cyst.
Image 2 : Coronal view of right renal cyst (arrow).
Image 3 : Parasagittal view of right kidney.
One well-defined and anechoic cystic lesion (6.4*5.8 mm) (arrow) within right kidney.
Normal corticomedullar differentiation and size of this kidney.
Image 4 : Parasagittal view of right kidney.
The other well-marginated and anechoic cystic lesion (5.3*3.3 mm) (arrow) at the lower part of right kidney.
Image 5: Axial view of right kidney.
These two renal cysts (arrows). The smaller one (blue arrow) was a new finding.
Image 6: Parasagittal view of right kidney.
One well-defined and anechoic cystic lesion (7.0*4.9 mm) (arrow) within right kidney.
Normal corticomedullary differentiation and size of this kidney.
Image 7: Parasagittal view of right kidney.
The other well-defined and anechoic cystic lesion (5.7*2.6 mm) (arrow)
Image 8: Axial view of right kidney.
Two renal cysts with stable size, no rapid growth noted as the gestation progressed.
Image 9: Parasagittal view of right kidney (arrow).
Normal size and normal corticomedullary differentiation of right kidney.
Image 10: Parasagittal view of left kidney (arrow).
Normal size and normal corticomedullary differentiation of left kidney.
Image 11: Parasagittal view of right kidney.
One well-defined and anechoic cystic lesion (6.8*4.2 mm) (arrow) within right kidney.
Image 12: Parasagittal view of right kidney.
The other well-marginated and anechoic cystic lesion (5.5*2.4 mm) (arrow).
Outcome: