Axial CT through the kidneys shows a focal nephrographic defect in the upper pole of the right side of a horseshoe kidney. There is mils perinephric prominence of the associated posterior peritoneum. This patient presented with fever, back pain had white cells in her urine . Finding are consistent with acute pyelonephritis
Ashley Davidoff MD TheCommonVein.net 29229
63-year-old female with a history of nephrolithiasis and chronic obstruction and a diagnosis of Xanthogranulomatous pyelonephritis (XGP).
Axial CT through the middle of the kidneys shows multiple, low attenuation obstructed calyces, surrounded by enhancing thin renal parenchyma. The appearance is reminiscent of the toe pads on a polar bear’s paw. The patient did have a history of TB
Ashley Davidoff MD TheCommonVein.net 24526
CT in the excretory phase in the axial projection shows a scar on the medial aspect of the superior pole of the left kidney. The clubbed calyx or naked calyx protrudes into the scar enabling a diagnosis of chronic pyelonephritis to be made
Ashley Davidoff MD TheCommonVein.net 132482
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
45-year-old male diabetic presents with flank pain and fever. Nephrostogram shows multiple filling defects in the calyces and throughout the intrarenal collecting system and proximal ureter. Culture of the urine revealed extensive growth of candida
Ashley Davidoff MD TheCommonVein.net 15822
45-year-old male diabetic presents with flank pain and fever. CT shows multiple filling defect in a left upper pole calyces. Culture of the urine revealed extensive growth of candida
Ashley Davidoff MD TheCommonVein.net 15814c