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Table 6 Imaging findings associated with GUTB

From: Serologic and urinary characteristics of laboratory-confirmed genitourinary tuberculosis at a tertiary hospital in the Philippines

Intravenous pyelography
Unilateral renal parenchymal disease
Non-functioning kidney
Calcification of the urinary tract: medullary nephrocalcinosis, nephrolithiasis, ureterolithiasis, cystolithiasis
Bladder wall thickening
CT scan
Hypodense renal foci with or without internal septations or peripheral calcifications
Renal cysts, Bosniak I and II
Renal mass
Calcification of the urinary tract: nephrolithiasis, ureteropelvic junction lithiases
Urinary tract dilatation: hydronephrosis, ureteropelvocaliectasia with possible distal ureteral stricture
Ureteral wall thickening
Bladder wall thickening
Vesicocutaneous fistulous tract
Evidence of extra-renal TB infection:
 Pulmonary tuberculosis with or without endobrochial spread
 Distal ileal and ileocecal wall thickening with multiple abscess formation (intraabdominal, pelvic, and prostatic regions) and lymphadenopathies
 Multilevel vertebral lesions with disc destruction (Pott’s disease) with abscess formation involving adjacent muscles (psoas, iliopsoas and gluteus maximus)
Ultrasound
Unilateral or bilateral renal parenchymal disease with or without signs of chronicity
Echogenic renal walls with or without internal echoes suggestive of pyelitis or pyelonephritis
Pyonephrosis
Renal cysts or mass
Calcification of the urinary tract: nephrocalcinosis, nonspecific parenchymal/perinephric/periureteral calcifications, nephrolithiasis, urolithiases,
Urinary tract dilatation: hydronephrosis, focal caliectasia, pelvocaliectasia, ureteropelvocaliectasia
Irregular, diffuse, or heterogeneous bladder wall thickening
Bladder wall foci or mass
Evidence of abdominopelvic Koch’s infection: tobacco pouch appearance of fallopian tube, thickening of uterine serosa and peritoneum, palisading bowel loops, and massive ascites