Perinephric stranding refers to the appearance of edema within the fat of the perirenal space on CT or MRI. While a degree of symmetric bilateral perinephric stranding is common, particularly in the elderly, asymmetric or unilateral perinephric stranding is an important sign of renal inflammation or of acute obstruction.
Dr. David Schulsinger explains that perinephric fat stranding is a hazy appearance in a linear pattern in the soft tissues in the perinephric space on a computed tomography image. The perinephric space, explains Aizenstein et al. is a cone-shaped compartment that contains the kidney, adrenal glands and perinephric fat.
While a degree of symmetric bilateral perinephric stranding is common, particularly in the elderly, asymmetric or unilateral perinephric stranding is an important sign of renal inflammation or of acute obstruction. As such, it is seen in condition...
In the setting of abdominal pain, whether acute or chronic, CT is helpful, and frequently essential, in discovering the underlying cause.Fat stranding is a common finding on CT of the abdomen and, when present, it directs the radiologist's attention to the site of pathology. However, there is a wide differential for this pattern.
I have no idea what perinephric straining (or stranding) is; but I'll say a few prayers for you. I think you need to see the specialist with a written list of questions for him to answer. Good luck, and God bless. Jenny
What is bilateral perinephric stranding? Stranding of perinephric fat is defined as linear areas of soft tissue attenuation in the perinephric space, which can result from any acute process or ...
Axial non-contrast CT scan showing bilateral Type II EPN with air (arrows) in the pelvicalyceal system and pyonephrosis in left kidney with mild left perinephric stranding The differential diagnosis of gas in the renal parenchyma includes other than EPN are focal renal abscess, accidental or ...
Treatment of perinephric stranding depends on the existing underlying condition. Perinephric stranding is a clinical manifestation arising from any acute process of the urinary system and an injury to the kidney in any form. Preservation and restoration of renal function to gain and maintain optimal health is the purpose of treatment and ...
Free, official coding info for 2019 ICD-10-CM N28.89 - includes detailed rules, notes, synonyms, ICD-9-CM conversion, index and annotation crosswalks, DRG grouping and more.
No ureter dilatation. No additional collecting system calculi. Bladder unremarkable. No contour deforiming renal lesions or perinephric flud. Mild nonspecific bilateral perinephric stranding indicates chronic inflammation. There likely is a small subcentimeter mid left renal cortical cyst medially of limited evaluation without contract.