Computed tomography of the abdomen and chest showed hepatosplenomegaly, nephromegaly
, multifocal and subpleural nodular airspace opacities bilaterally with early cavitation, and a small left pleural effusion.
Renal lymphangioma: a cause of neonatal nephromegaly
. Pediatr Radiol 1984;14:445-8.
 Our case was diagnosed by signs and symptoms of haematuria, acute renal failure, hypertension, thrombocytopenia, clinical examination revealing right nephromegaly
and renal Doppler suggestive of reduced renal blood flow with cause being sepsis and dehydration.
CT scans were retrospectively reviewed by a single radiologist who classified the calculus as non-obstructing, partially obstructing, or completely obstructing according to pre-determined criteria that included the degree of hydronephrosis, hydroureter, nephromegaly
, and perinephric stranding present on the CT.
Significant hepatomegaly was evident in almost all patients but nephromegaly
was present in only 5.5% patients.
Postmortem examination revealed severe, bilateral nephromegaly
due to multifocal to coalescing renal tubular adenomas (adenomatosis), which was complicated with renal gout and soft tissue mineralization.
Abdominal and renal sonography performed at 2-year of age revealed marked hepatomegaly and nephromegaly
, with increased echogenicity.
(10) Diffuse infiltration is almost always bilateral and seen in approximately 20% of patients and presents with nephromegaly
. (11) We did not perform endomyocardial biopsy as we had good corroborative evidence in support of NHL (cardiac MRI, lymph node and renal biopsy) and also avoided an invasive diagnostic procedure.
Visceral changes, such as splenomegaly or nephromegaly
(Figure 2), hydronephrosis, pancreatic lipomas, colonic polyps, emphysema, and lung cysts are less common findings [19, 23, 24].
These cases have significant nephromegaly
with about 90% of the ducts involved, which may impede delivery.
In particular, in cases with concomitant elevated uric acid and nephromegaly
the diagnosis of renal lymphoma should always be a consideration.