Ultrasonography is currently used to diagnose autosomal dominant polycystic kidney disease, despite accuracy being limited in patients <30 years of age. A new study in 155 individuals showed that high-resolution ultrasonography achieved a diagnostic sensitivity of 97%. Use of high-resolution ultrasonography compared favourably with the reported 82% diagnostic sensitivity achieved with standard ultrasonography. This research suggests that high-resolution ultrasonography is comparable in sensitivity to MRI (which has 100% diagnostic sensitivity).