case_images: PMC9805599_01
case_images: A 39-year-old female with renal lymphangiomatosis who presented with abdominal pain. Axial computed tomography urogram through the level of the left kidney in the nephrogenic phase demonstrates multiple foci of cystic dilation in the renal parenchyma (red arrows) some which communicate (blue arrow) with the peripelvic cystic lesion (yellow arrow). These cystic dilations most likely represent lymphangiomatosis within the renal parenchyma.
case_images: JCIS-12-65-g001.jpg
case_images: PMC9805599_01_JCIS-12-65-g001.jpg
case_images: F1
case_images: Innumerable tiny cystic dilatation throughout the left renal parenchyma was more conspicuous on the CT urogram [Figures 1 and 2].
case_images: A 39-year-old female with renal lymphangiomatosis who presented with abdominal pain. Axial computed tomography urogram through the level of the left kidney in the excretory phase again demonstrates multiple foci of cystic dilation in the renal parenchyma (red arrows). The peripelvic cystic lesion (yellow arrow) does not demonstrate opacification on the delayed excretory images indicating that it is separate from the renal collecting system.
case_images: JCIS-12-65-g002.jpg
case_images: PMC9805599_01_JCIS-12-65-g002.jpg
case_images: F2
case_images: Innumerable tiny cystic dilatation throughout the left renal parenchyma was more conspicuous on the CT urogram [Figures 1 and 2].
case_images: A 39-year-old female with renal lymphangiomatosis who presented with abdominal pain. Coronal reformats of the computed tomography urogram during the excretory phase demonstrates the large left periureteric cystic lesion (blue arrow). The ureter is coursing through the center of the lesion and there is mild compression of the proximal and mid ureter (red arrow).
case_images: JCIS-12-65-g003.jpg
case_images: PMC9805599_01_JCIS-12-65-g003.jpg
case_images: F3
case_images: There was prompt excretion of contrast through the non-dilated left collecting system that was slightly compressed at the proximal and mid ureter level [Figure 3].
case_images: A 39-year-old female with renal lymphangiomatosis who presented with abdominal pain. Sagittal gray scale ultrasound demonstrates communication of the periureteral cystic lesion with the peripelvic cysts (red arrow).
case_images: JCIS-12-65-g004.jpg
case_images: PMC9805599_01_JCIS-12-65-g004.jpg
case_images: F4
case_images: There was a communication of the periureteral cystic lesion with the peripelvic cysts [Figure 4].