nydronephros|s grad|ng

Crade of hydronephrosls
A Crade 1 hydronephrosls mlnlmal separaLlon of Lhe lnLrarenal collecLlng sysLem
8 Crade 2 hydronephrosls mlld dllaLlon of Lhe renal pelvls no calyceal dllaLlon
C Crade 3 hydronephrosls renal pelvlc dllaLlon wlLh some calyceal dllaLaLlon (f% buL
preservaLlon of renal parenchyma
Crade 4 hydronephrosls noL only slgnlflcanL hydronephrosls buL also Lhlnnlng of Lhe renal
parenchyma
hLLp//wwwsprlngerlmagescom/lmages/MedlclneAndubllcPealLh/2ACu040102006u














nI-I I-A-
Cambar lnl menun[ukkan pelebaran rlngan darl pelvls dan calyces LeruLama pada gln[al klrl dan
kanan yang menun[ukkan hldronefrosls rlngan
1hls lmages shows mlld dllaLaLlon of Lhe pelvls as we|| as the ca|yces of Lhe rlghL kldney suggesLlng
mlld hydronephrosls 1he lefL kldney also appears Lo be affecLed slmllarly 1hls musL be
dlfferenLlaLed from mlld dllaLaLlon of Lhe renal pelvls alone (called spllLLlng of Lhe pelvls% whlch ls
physlologlcal and LranslenL Lhls means LhaL on empLylng of Lhe urlnary bladder Lhls appearance
should dlsappear














nI-I A-
1erllhaL cupplng darl calyces dengan dllaLasl sedang (gln[al kanan% arenklm renal masl dalam baLas
normal
1he above ulLrasound lmages show cupplng of Lhe calyces wlLh moderaLe dllaLlon (8lghL kldney% of
Lhe pelvls and calyces uesplLe Lhe hydronephrosls Lhe renal parenchyma ls sLlll preserved








nydronefros|s berat
1erdapaL dllaLasl yang [elas darl pelvls dan calyces yang dlserLal penlplsan darl parenklm renal
1he above sonographlc lmages show marked dllaLaLlon of Lhe pelvlcalyces wlLh sever Lhlnnlng of Lhe
renal parenchyma ln case2 noLe almosL LoLal absence of normal renal Llssue (corLex%
hLLp//wwwulLrasoundlmagescom/ureLerlccalcullhLm#Severe_hydronephrosls