19.9 Conclusion
Renal involvement in myeloproliferative and lymphoproliferative disorders is generally not routinely imaged, as in most instances they are asymptomatic owing to preserved renal function. Symptoms arise as a result of compression, renal obstruction, infection, or hemorrhage. Ultrasound and CT remain the imaging modalities of choice due to their availability, relatively short scan times, and reduced costs compared with MR imaging. Computed tomography in particular is extremely good at depicting renal, perirenal, and intra-abdominal pathology. However, nuclear medicine imaging, particularly PET, is proving useful in post-treatment monitoring of disease activity. Although there are no specific imaging features that differentiate these entities from other disease processes that can affect the kidney, in general, leukemia and lymphoma are iso- or hypoechoic on US, and iso- or hypodense on CT. Lymphomas are hypovascular, showing minimal or no enhancement after contrast administration on CT. Extramedullary plasmacytomas are hetero-geneous on US, isodense on CT, and demonstrate heterogeneous enhancement.
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Ooi, C.G.C., Guermazi, A. (2006). Lymphoproliferative Neoplasms. In: Guermazi, A. (eds) Imaging of Kidney Cancer. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-30003-1_19
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