Question
Identify the grade of Vesicoureteral Reflux shown in this micturatiing Cystourethrogram:
A. Grade I
B. Grade II
C. Grade III
D. Grade IV
Show Answer
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Correct Answer » B
Explanation
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Ans:B. Grade II.
Image shows:Grade II vesicoureteric reflux during filling: reflux into the ureter and the calices, no dilatation.
Grade I (active) vesicoureteric reflux during micturation: reflux into the ureter, not into the calices
Grade III (active) vesicoureteric reflux during micturation: reflux into the ureter and the calices with mild dilatation.
Grade IV (active) vesicoureteric reflux after micturation: moderate dilatation and tortuosity of the ureter with blunting of the fornices, preserved papillary impressions.
Bilateral grade V (passive) vesicoureteric reflux during filling: severe dilatation and tortuosity of the ureter with grossly dilatated fornices, loss of papillary impressions.