RT Book, Section A1 Dirkx, Tonja C. A1 Woodell, Tyler B. A2 Papadakis, Maxine A. A2 McPhee, Stephen J. A2 Rabow, Michael W. A2 McQuaid, Kenneth R. SR Print(0) ID 1184182916 T1 Imaging Studies of the Kidney T2 Current Medical Diagnosis & Treatment 2022 YR 2022 FD 2022 PB McGraw-Hill Education PP New York, NY SN 9781264269389 LK accessmedicine.mhmedical.com/content.aspx?aid=1184182916 RD 2024/04/19 AB Ultrasonography is used to assess kidney size and symmetry. Kidney size is usually 9–12 cm in length in adults with healthy kidneys. A kidney less than 9 cm in length in an adult suggests (but does not confirm) significant, irreversible kidney disease. A difference in size of more than 1.5 cm between the two kidneys may occur in unilateral kidney disease (eg, a history of pyelonephritis causing damage to one kidney). Kidney ultrasound is also performed to assess for obstruction and hydronephrosis (eFigure 22–2), to characterize kidney stones and mass lesions, to screen for autosomal dominant polycystic kidney disease (see Figure 22–6), to localize the kidney for a percutaneous biopsy, and to assess postvoid residual urine volume in the bladder. Image quality is dependent on body habitus and may be poor in obese individuals.