Neonatal renal venous thrombosis (NRVT) is a serious complication of n
ewborns. Ultrasound is most useful in detecting NRVT. However, there i
s no detailed description of the evolution of ultrasound finding in NR
VT. Here we report a patient with NRVT with complete ultrasound follow
-up. Perivascular streaks were first seen at 3 days of age with a diff
usely enlarged and echogenic right kidney. Echolucency then gradually
appeared over the medulla area with shrinking renal size. Concomitant
loss of renal function was evidenced by dimercaptosuccinic acid scan.
The kidney became contracted at the age of 1 year. Since the pathognom
onic perivascular streaks were present for only a few days, early ultr
asound scanning should be performed for every newborn suspected of hav
ing NRVT.