What is the role of imaging studies in the workup of acute poststreptococcal glomerulonephritis (APSGN)?

Updated: Dec 05, 2018
  • Author: Rajendra Bhimma, MBChB, MD, PhD, DCH (SA), FCP(Paeds)(SA), MMed(Natal); Chief Editor: Craig B Langman, MD  more...
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Answer

No specific radiologic studies are particularly helpful in either the evaluation or the treatment of patients with APSGN. Renal ultrasonography generally demonstrates normal to slightly enlarged kidneys bilaterally with some evidence of increased echogenicity, and chest radiographs commonly demonstrate central venous congestion in a hilar pattern, the degree of which parallels the increase in extracellular fluid volume. Occasionally, an enlarged cardiac shadow is evident.


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