Table 3 Suggested procedure for renal sonography in children at risk of Wilms's tumour.
Equipment | High‐resolution probes and paediatric settings. Linear (7–10 MHz) in infants, curvilinear (6–8 MHz) probe in toddlers |
Preparation | Fasting and bladder preparation are not required |
Target organ | Kidney only |
Technique | Appropriate focal point and time gain settings. The whole renal parenchyma should be imaged longitudinally and transaxially with the child both supine and prone |
Normal variants | Dromedary hump, column of Bertin, duplex or bifid collecting systems |
Suspicious lesions | Solitary or multiple cystic or solid parenchymal lesions with or without sonographic signs of expansile growth. A solid lesion with internal vascular flow is more likely to represent malignancy than a simple cystic anechoic lesion |