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Column of Bertin
Amir A. Borhani, MDMichael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Septal cortex, hypertrophied or prominent column of Bertin, focal cortical hyperplasia, benign cortical rest, cortical island, focal renal hypertrophy, junctional parenchyma
              • Definitions

                • Hypertrophic bands of cortical tissue that separate pyramids of renal medulla

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      • Ultrasonographic Findings

                        • Nuclear Medicine Findings

                          • Imaging Recommendations

                            DIFFERENTIAL DIAGNOSIS

                              PATHOLOGY

                              • General Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Houat AP et al: Congenital anomalies of the upper urinary tract: a comprehensive review. Radiographics. 42(2):462-86, 2021
                                          2. Lee JH et al: Relationship between divided-shaped kidney and collecting system duplication. Abdom Imaging. 40(7):2441-5, 2015
                                          3. Damry N et al: Compensatory hypertrophy of renal parenchyma presenting as a mass lesion. Pediatr Radiol. 35(8):832-3, 2005
                                          4. Ascenti G et al: Contrast-enhanced power Doppler US in the diagnosis of renal pseudotumors. Eur Radiol. 11(12):2496-9, 2001
                                          5. Tello R et al: MR imaging of renal masses interpreted on CT to be suspicious. AJR Am J Roentgenol. 174(4):1017-22, 2000
                                          6. Yeh HC et al: Junctional parenchyma: revised definition of hypertrophic column of Bertin. Radiology. 185(3):725-32, 1992
                                          7. Seppala RE et al: Sonography of the hypertrophied column of Bertin. AJR Am J Roentgenol. 148(6):1277-8, 1987
                                          8. Lafortune M et al: Sonography of the hypertrophied column of Bertin. AJR Am J Roentgenol. 146(1):53-6, 1986
                                          9. Williams ED et al: Kidney pseudotumour diagnosed by emission computed tomography. Br Med J (Clin Res Ed). 285(6352):1379-80, 1982
                                          10. Green WM et al: "Column of Bertin": diagnosis by nephrotomography. Am J Roentgenol Radium Ther Nucl Med. 116(4):714-23, 1972
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Synonyms

                                                        • Septal cortex, hypertrophied or prominent column of Bertin, focal cortical hyperplasia, benign cortical rest, cortical island, focal renal hypertrophy, junctional parenchyma
                                                      • Definitions

                                                        • Hypertrophic bands of cortical tissue that separate pyramids of renal medulla

                                                      IMAGING

                                                      • General Features

                                                        • Radiographic Findings

                                                          • CT Findings

                                                            • MR Findings

                                                              • Ultrasonographic Findings

                                                                • Nuclear Medicine Findings

                                                                  • Imaging Recommendations

                                                                    DIFFERENTIAL DIAGNOSIS

                                                                      PATHOLOGY

                                                                      • General Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Houat AP et al: Congenital anomalies of the upper urinary tract: a comprehensive review. Radiographics. 42(2):462-86, 2021
                                                                                  2. Lee JH et al: Relationship between divided-shaped kidney and collecting system duplication. Abdom Imaging. 40(7):2441-5, 2015
                                                                                  3. Damry N et al: Compensatory hypertrophy of renal parenchyma presenting as a mass lesion. Pediatr Radiol. 35(8):832-3, 2005
                                                                                  4. Ascenti G et al: Contrast-enhanced power Doppler US in the diagnosis of renal pseudotumors. Eur Radiol. 11(12):2496-9, 2001
                                                                                  5. Tello R et al: MR imaging of renal masses interpreted on CT to be suspicious. AJR Am J Roentgenol. 174(4):1017-22, 2000
                                                                                  6. Yeh HC et al: Junctional parenchyma: revised definition of hypertrophic column of Bertin. Radiology. 185(3):725-32, 1992
                                                                                  7. Seppala RE et al: Sonography of the hypertrophied column of Bertin. AJR Am J Roentgenol. 148(6):1277-8, 1987
                                                                                  8. Lafortune M et al: Sonography of the hypertrophied column of Bertin. AJR Am J Roentgenol. 146(1):53-6, 1986
                                                                                  9. Williams ED et al: Kidney pseudotumour diagnosed by emission computed tomography. Br Med J (Clin Res Ed). 285(6352):1379-80, 1982
                                                                                  10. Green WM et al: "Column of Bertin": diagnosis by nephrotomography. Am J Roentgenol Radium Ther Nucl Med. 116(4):714-23, 1972