Retroperitoneum Spaces
Urinoma
Hemorrhage
Abscess
Sonographic Clues
100

What three organs are located in the anterior pararenal space?

What are the pancreas, duodenum, and ascending/transverse colon?

100

What is a urinoma?

What is an accumulation of urine outside the urinary tract?

100

A retroperitoneal hemorrhage may occur after which event?

What is trauma, bleeding disorder, or ruptured aneurysm?

100

What is an abscess?

What is a localized collection of pus caused by infection?

100

What does the term anechoic mean?

What is completely black with no internal echoes?

200

The perirenal space is surrounded by what fascia?

what fascia?What is Gerota’s fascia (anterior and posterior renal fascia)?

200

Name one common cause of a urinoma.

What is trauma, obstruction, or surgical injury?

200

An acute hemorrhage appears how on ultrasound?

What is anechoic or slightly echogenic?

200

Name two possible causes of an abscess.

What are surgery, trauma, or bowel perforation?

200

An acute hemorrhage appears mostly how on ultrasound?

What is anechoic or slightly echogenic?

300

Name two structures contained within the perirenal space.

What are the kidneys and adrenal glands?

300

Where are urinomas most commonly located?

What is around the kidney or upper ureter in the perinephric space?

300

What stage of hemorrhage shows septations and mixed echogenicity?

What is the subacute stage?

300

Gas within an abscess appears as what on ultrasound?

What are hyperechoic foci with dirty shadowing or reverberation?

300

A chronic hemorrhage may contain what two findings?

What are calcifications or scarring?

400

What are the main contents of the posterior pararenal space?

What are blood and lymph nodes?

400

On ultrasound, what does a urinoma usually look like?

What is a well-defined, anechoic or hypoechoic fluid collection?

400

What features are common in a chronic hemorrhage?

What are calcifications or scarring?

400

What does posterior acoustic enhancement in an abscess indicate?

What is fluid content?

400

What does posterior acoustic enhancement help identify?

What is a fluid-filled structure?

500

The perirenal space contains what kind of fat?

What is echogenic perinephric fat?

500

What finding suggests that a urinoma may be infected?

What are internal echoes within the collection?

500

What is the Doppler finding typically seen in a hemorrhage?

What is decreased or no flow?

500

What Doppler finding suggests inflammation around an abscess?

What is peripheral hyperemia?

500

What distinguishes an abscess from a hemorrhage sonographically?

What are internal debris, gas bubbles with dirty shadowing, and peripheral hyperemia?