What Is a Renal Ultrasound and What Does It Show?

A renal ultrasound is a non-invasive imaging technique used to visualize the kidneys and related structures. This diagnostic procedure relies on sound waves rather than radiation, making it a safe option for examining the urinary system. It provides healthcare providers with detailed images to assess the size, shape, and location of the kidneys, aiding in the diagnosis of various conditions.

Understanding Renal Ultrasound

Renal ultrasound operates on the principle of high-frequency sound waves. A small handheld device called a transducer sends these inaudible sound waves into the body. As the sound waves encounter internal organs and tissues, they bounce back as echoes.

The transducer then captures these returning echoes, and a computer processes them to create real-time images displayed on a monitor. These images provide a visual representation of the kidneys, the bladder, and sometimes the ureters, which are tubes connecting the kidneys to the bladder. The technology can also assess blood flow within the renal arteries and veins.

Why a Renal Ultrasound is Performed

Healthcare providers frequently recommend a renal ultrasound to investigate various symptoms and potential kidney concerns. This scan helps evaluate conditions causing symptoms such as flank pain, blood in the urine, or recurrent urinary tract infections.

The ultrasound can help identify specific issues, including kidney stones, which are hard mineral deposits that can cause blockages. It can also detect fluid-filled sacs called cysts, as well as solid growths or tumors within the kidneys. An ultrasound is also useful for diagnosing obstructions, such as hydronephrosis, which is swelling of the kidney due to urine buildup. Beyond diagnosis, it can monitor known kidney conditions, evaluate transplanted kidneys, or guide procedures like biopsies.

What to Expect During a Renal Ultrasound

The procedure is straightforward. You will lie on an examination table, and a sonographer or radiologist will apply a clear, water-based gel to your abdomen and back over the kidney area. This gel helps the transducer make secure contact with the skin and ensures optimal transmission of sound waves.

The sonographer will then move the transducer gently across the skin, applying light pressure to capture images from various angles. You may be asked to hold your breath briefly or change positions to improve image clarity. For some kidney and bladder ultrasounds, you might need to arrive with a full bladder. The entire procedure takes between 20 to 30 minutes. After the images are captured, the gel will be wiped off, and you can resume your normal activities immediately.

What a Renal Ultrasound Can Show

A renal ultrasound provides images that can reveal a range of kidney and urinary tract abnormalities. The scan effectively identifies kidney stones, cysts, and tumors, distinguishing between fluid-filled structures and solid masses.

The ultrasound can also detect signs of infection, such as inflammation or abscesses, and identify obstructions. After the scan, the images are reviewed by a radiologist, a medical doctor specializing in interpreting diagnostic images. This radiologist then prepares a detailed report for your referring physician, who will discuss the findings with you and determine the next steps for diagnosis or treatment.