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In our experience it is impossible to differentiate an abscess with an enhancing capsule from a tumour with central necrosis but viable peripheral tumour rind.
Progression of infection may lead to the formation of variable-sized intra- or perirenal abscesses (Fig. 9) with a characteristic appearance of round or geographic hypoattenuating collections, usually surrounded by a peripheral thickened enhancing capsule and by decreased parenchymal enhancement corresponding to non-necrotic infected kidney [50, 51].
There is no enhancement within this cyst or its dependent debris and no enhancing capsule (e 32 s, f 66 s, g 2 min 37 s).
The overlying thickened enhancing capsule simulates 'sugar coating'.
Abscesses may be confined to the masticator space or be transpatial and manifest as well-defined fluid collections surrounded by an irregularly enhancing capsule [3, 4] (Fig. 2).
Differentiation of non-infected collections from an abscess requires correlation of clinical signs and laboratory data with imaging appearances, mostly represented by enlarging intra- or peri-renal hypoattenuating collections with a peripheral, thickened enhancing capsule (Fig. 10).
Similar(54)
When the bacteria were grown on Columbia salt agar to enhance capsule expression (Fig. 2C), strain Newman provoked a higher bacterial burden per abscess than when it was grown on tryptic soy agar (Fig. 2B).
Increasing the pH of Sabouraud medium does not enhance capsule growth (18).
Incubation of blood agar plates in an atmosphere enriched with 5% of CO2 enhanced capsule expression.
On computed tomography (CT), pseudocysts are round or oval and have a thin (1 2 mm) enhancing fibrous capsule.
Image-enhanced capsule endoscopy could be advantageous in detecting these abnormalities.
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