Megalocytic Interstitial Nephritis: Ultrasonic and Radiographic Changes

The radiologic and ultrasonic findings are presented in a case of megalocytic interstitial nephritis, a very rare condition, in many ways similar to renal malacoplakia. The role of ultrasound in the interpretation of the radiographic changes is discussed. Excretory urography will demonstrate a nonspecific renal mass effect and angiography may rule out evidence of tumor. Ultrasonic correlation can be highly suggestive of an interstitial parenchymal lesion.