68-year-old diabetic male in chronic renal failure presents with right flank pain and fever. CT without contrast shows air within the parenchyma of the right kidney, with speckled bubbles of air and thick fluid in the renal pelvis
Ashley Davidoff MD TheCommonVein.net 135734c01
78-year-old female with chronically obstructed left kidney presents with flank pain and fever. CT shows air in the hydronephrotic left renal pelvis with associated post obstructive renal atrophy and thinning of the cortex. There is perinephric induration and thickening of Gerota’s fascia. Regional lymphadenopathy is present in the retroperitoneum
Ashley Davidoff MD TheCommonVein.net 135708c
Emphysematous Pyelonephritis
55-year-old diabetic female presents with flank pain and fever. CT shows diffuse infiltration of air into the swollen kidney including the intertstitium of the renal parenchyma, subcapsular regions, perinephric space and the retroperitoneum. .There are islands of soft tissue predominantly in the medial aspect of the kidney. Perinephric induration and thickening of Gerota’s fascia is noted.
Ashley Davidoff MD TheCommonVein.net 135710c
55-year-old diabetic female presents with flank pain and fever. CT with contrast in the nephrogram phase shows a non-functioning rim of cortex and medulla, and a small island of functioning parenchyma in the medial upper portion of the left kidney. There is a thin enhancing rim likely representing an enhancing capsule.
Ashley Davidoff MD TheCommonVein.net 135715c
Pyelitis Gas Hydronephrosis Candida
45-year-old male diabetic presents with flank pain and fever. CT shows gas bubbles in the inflamed left renal pelvis with hyperemic urothelium, associated with a fluid collection – likely an abscess in the renal hilum. In addition, there is mild hydronephrosis, a swollen left kidney and mild delay in the nephrogram. There is induration of Gerota’s fascia and the lateral conal fascia Culture of the urine revealed extensive growth of candida
Ashley Davidoff MD TheCommonVein.net 15816c