A 12-year old girl
Primary TB focus – latent
Due to somewhat more prominent hypoechogenicity, the focus should be followed-up due to possible activation.
 

An 11 year-old boy
Primary focus – inactive
Slightly eccentric position of the focus pushing forward renal capsule, contributing to abortive type of activation, if it ensues.
 

A 10-month old girl
Primary focus – inactive
 

A 13-year boy
Primary focus – inactive
To be more precise – this is potentially activated focus that has spontaneously regressed and its structure absolutely corresponds to the inactive one, however its dimensions are somewhat greater.
 

A 5-year old girl
Primary focus – inactive
 

A 51-year old woman
Primary focus – inactive
Certain non-homogeneity of the internal structure without any influence on the essential nature of the focus since other components (size, shape, contours) are characteristic for the inactive primary focus.
 

A 48-year old woman
Primary focus – inactive

The focus also slightly protrudes from the kidney contour pushing away its capsule. Moderate non-homogeneity of the structure is frequent in inactive primary foci in adults.

A 32-year old man
Manifest activation of the primary TB focus
The eruption phenomenon is clearly visible, giving the expression that the focus has practically exploded! TB is microbiologically verified. The therapy is in progress.
 

A 29-year-old man
Manifest activation of the primary TB focus
The most of the detritus descended into the renal pelvis and it is oriented toward the ureter, while the focus itself is evacuated to the significant extent. TB is microbiologically verified and the therapy is in progress.
 

A 35-year old woman
Therapy-induced healing of once active primary focus.
Primary focus once already activated and spontaneously healed. After second activation and 6-month therapy, the focus is healed (A). A portion of the affected adrenal gland and healed TB lobitis (B) are also visible.
 

A 29-year old man
Therapy-induced healing of once active primary focus.
The therapy lasted for 9 months. In addition to primary TB focus (A), TB lobitis (B), also healed, is visible as well. Primary focus is more prominent at the anterior contour of the kidney.
 

A 33-year old man
Spontaneous healing of once active primary TB focus
Small (sub-lobular), healed TB focus protruding from the contour of the middle third of the kidney is also seen.
 

A 32-year old man
Spontaneous healing of once active primary TB focus
Due to its size, the focus appears as pseudo-tumor.
 

A 54-year old woman
TB lobitis in phase of activation
The patient underwent therapy for 9 months in the period 2000-2001. The process is currently reactivated upon development of the new focus in the form of lobitis. The eruption phenomenon is readily visible. The primary focus, for which the patient underwent therapy is currently silent, encapsulated. TB is microbiologically verified and the therapy is re-introduced.
 

A 17-year old girl
TB lobitis in phase of activation
The patient undergoing therapy for 2 months due to activated primary TB focus. In spite of the therapy development of the new focus – TB lobitis, ensued. The eruption phenomenon!
 

A 39-year old woman
Therapy-induced TB lobitis healing
The patient undergoing therapy for 8 months (relapse ensued in the course of therapy). Lobitis is healed by encapsulation. Primary focus in the upper pole has not been healed and adrenal gland affection while TB process is visible as well.
 

A 46-year old woman
Therapy-induced TB lobitis healing
The patient undergoing therapy for 8 months.
 

A 31-year old woman
Therapy-induced healing of TB lobitis.
The patient undergoing therapy for 6 months. The figure reveals 3 foci. Primary TB focus (A) is in the phase of moderate regression, while two lobitides, one next to another, are distally visible. Both of them are healed.
 

A 33-year old woman
Spontaneous regression of TB lobitis
The patient was impatiently treated for “kidney inflammation” in her childhood. It was actually the case of TB lobitis. The figure reveals healed TB lobitis appearing as pseudo-tumor. Detritus residues are present in the collecting system still imitating the eruption phenomenon. Spontaneously healed primary TB focus us also visualized.
 

A 25-year old woman
Spontaneous healing of TB lobitis.
After healing, TB lobitis appearing as pseudo-tumor protruding from the adrenal gland contour. Recently activated TB focus is also visible as well as detritus residues in the collecting system and initial dilatation of the system. Ureteral stricture may be expected in the further course.
 

A 36-year old woman
Adrenal gland TB
The patient undergoing renal TB treatment for 9 months. The process also affected the adrenal gland which makes the integral part with the primary focus and follows the changes within it. The focus is reactivated and thus adrenal gland became equally hypoechogenic.

A 59-year old woman
Adrenal gland TB
Highly remarkable image of the ubiquitous primary focus in the kidney and affected portion of the adrenal gland. The ubiquity is the rule! The inflammatory process is in the advanced phase of regression whose extent is the same in the kidney and in the adrenal gland. The process is spontaneous.

A 51-year old man
Adrenal gland TB
Almost whole adrenal gland is affected. Ubiquitous focus in the kidney and in the adrenal gland. The process in spontaneously cured.
 

A 35-year old woman
Adrenal gland TB
The patient has been undergoing renal TB treatment. The process affected only small portion of the adrenal gland. Association with the primary focus is such that it appears that renal capsule is perforated by the primary focus. Upper pole of the kidney is therefore slightly deformed. The figure also reveals TB lobitis (B).
 

11-month old infant (girl)
Typical picture of the twin foci!
Primary focus was active and it is currently in the phase of moderate regression. Immediately next to it, markedly dark, hypoechogenic focus corresponding to TB lobitis in the phase of activation is visible as well. Commencement of detritus discharge from the focus (the eruption phenomenon).
 

A 10-year old boy
In addition to once active primary focus currently in the phase of advanced regression, other four smaller foci are also visible – 2 lobitides and 2 sub-lobular foci. Lobitis in the middle third and one sub-lobular focus are practically healed while other two foci in the lower pole are in the phase of moderate to advanced regression. The kidney is exposed to high future risk of chronic pyelonephritis.
 

A 10-year old girl
This figure as well as the following three represent the same child (and the same kidney with five TB foci, visualized on the same day).
The figure reveals healed - once active primary TB focus.
 

A 10-year old girl
TB lobitides in the middle third of the kidney, one next to another. The proximal one is manifestly active with thin, dark “column” of detritus coming out from the pyramid top. Distal one is spontaneously healed but with residues of detritus extending from the pyramid top to the collecting system of the kidney. The “column” is thicker and lighter in comparison to the first one.
 

A 10-year old girl
Semi-oblique scanning revealing both TB lobitides (both marked with B) and primary TB focus in the upper pole (“A”) – picture of the twin foci.
 

A 10-year old girl
In addition to the described foci, other two TB foci are visible in the lower pole – one healed and the other in the phase of moderate regression. The kidney is exposed to future risk of chronic pyelonephritis.
 

A 6-year old girl
Primary TB focus, extremely large, activated for two times. The focus has thick outer fibrous layer, however hypoechogenic zones are seen in the central part and toward the capsule. Therefore, the focus is liable to new activations. It appears as pseudo-tumor.
 

An 11-year old boy
Healed TB lobitis of greater dimensions (affecting three lobes), protruding from the kidney contour and appearing as pseudo-tumor
 

A 4-year old girl
Two large foci (the twin foci)
Primary TB focus (A) is healed while TB lobitis (B) is in the phase of moderate regression.
 

A 4-year old girl
The same kidney – contralateral kidney
The figure reveals 3 TB foci: C and D represent primary focus that was twice activated and spontaneously healed (“eccentric” onion bulb), while E represents lobitis in the phase of advanced regression.