Retroperitoneal and pelvic CT of patients with AIDS: primary and secondary involvement of the genitourinary tract.
Although genitourinary tract disorders are common in acquired immunodeficiency syndrome (AIDS), little attention has been paid to their manifestations on computed tomographic (CT) scans. The authors reviewed the CT scans of 86 patients infected with the human immunodeficiency virus for CT manifestations of primary or secondary involvement of the genitourinary tract. Genitourinary tract abnormalities identified in the 86 patients included nephromegaly in 34 (40%), hilar adenopathy in 30 (35%), bladder wall thickening in 19 (22%), medullary hyperattenuation in 12 (14%), renal calcifications in seven (8%), adnexal masses in five (6%), hydronephrosis in four (5%), pyelonephritis in three (3%), renal abscesses in three (3%), and solid renal masses in three (3%). Although these abnormalities are seen on CT scans in many other diseases, in the AIDS patient they often indicate the presence of an AIDS-related renal disease or involvement of the genitourinary tract by an AIDS-related neoplasm or infection.
Kuhlman
J E
JE
Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Medical Institutions, Baltimore, MD 21205.
Browne
D
D
Shermak
M
M
Hamper
U M
UM
Zerhouni
E A
EA
Fishman
E K
EK
D016263:AIDS-Associated Nephropathy / Q000000981:diagnostic imaging; D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D000368:Aged; D005260:Female; D052776:Female Urogenital Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging; D008297:Male; D052801:Male Urogenital Diseases; D008875:Middle Aged; D010388:Pelvis / Q000000981:diagnostic imaging; D012187:Retroperitoneal Space / Q000000981:diagnostic imaging; D012189:Retrospective Studies; D012514:Sarcoma, Kaposi / Q000000981:diagnostic imaging; D012749:Sexually Transmitted Diseases / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014552:Urinary Tract Infections / Q000150:complications / Q000000981:diagnostic imaging