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Based on current attitudes, tuberculous changes in the
kidneys cannot be recorded using ultrasonography. All the authors who
have addressed the issue in different monographs and textbooks
expressly stress “renal tuberculosis lacks its pertinent ultrasound
picture“!
Radiological methods, mostly urography, are currently used for this
purpose and the findings are generally based on indirect indicators.
Tuberculous focus in the parenchyma is invisible and therefore, no
changes within it may be recorded or analyzed.
My discovery denies the above! Ultrasonographic picture of renal
tuberculosis indeed exists, it is rather characteristic and I have
described and defined it! It is easily and unmistakably recognized as a
whole, directly with possibility of monitoring of all changes taking
place within tuberculous foci.
I have named the obtained ultrasonographic picture THE MEDALLION SIGN,
similarly to the picture of the primary TB focus, while primary TB
focus is only one of the manifestations of the renal tuberculosis, its
basic starting form.
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