The prevalence of increased renal medullary echogenicity in healthy ne
onates was looked for. A group of 178 neonates underwent renal ultraso
und on the first and second days of life. On the first day of life 58
% had hypereochoic material in their renal collecting system, whereas
on the second day only 33 % were found to have ultrasonographically de
monstrable increased echogenicity in their kidneys. Urinary protein co
ncentrations in infants with increased renal echogenicity were signifi
cantly higher than in those without increased renal echogenicity.