All are the radiological sings of Urogenital TB Except
**Core Concept**
Urogenital tuberculosis (TB) is a form of extrapulmonary TB that affects the genitourinary system, primarily the kidneys, bladder, and ureters. Radiological signs of urogenital TB are crucial for diagnosis, and they can be categorized into several types.
**Why the Correct Answer is Right**
The correct answer is a combination of radiological signs that are characteristic of urogenital TB. These signs include:
* **Calculus** (stones) in the kidneys, ureters, or bladder, resulting from chronic infection and inflammation.
* **Ureteral strictures** or narrowing, which can lead to hydronephrosis and renal impairment.
* **Bladder wall thickening** or fibrosis, often with irregular contours, indicating chronic inflammation.
* **Kidney parenchymal thinning** or scarring, reflecting long-standing infection.
**Why Each Wrong Option is Incorrect**
**Option A:** This is a characteristic sign of urogenital TB, as it reflects chronic infection and scarring in the kidney parenchyma.
**Option B:** This is also a common finding in urogenital TB, as chronic infection and inflammation can lead to ureteral narrowing and hydronephrosis.
**Option C:** This option is incorrect, as it is not a typical radiological sign of urogenital TB. While TB can affect the adrenal glands, it is not a characteristic feature of urogenital TB.
**Clinical Pearl / High-Yield Fact**
In cases of urogenital TB, it is essential to consider the patient's medical history, including any previous TB infections, as well as their symptoms, such as flank pain, hematuria, or dysuria. A high index of suspicion is crucial for early diagnosis and treatment.
**Correct Answer: C.**