Relatively enlarged left kidney showing poor parenchymal enhancement on the arterial and venous phase imaging. An ill-defined non-enhancing area containing gas foci, measuring approximately 4 x 4 cm is seen at the upper pole of the left kidney. Multiple small focal hypodensities (without any gas foci) are seen in the remaining left renal parenchyma. Mild left perinephric fat stranding. No focal collection or gas is seen in the left perinephric space. No definite gas is seen within the left renal collecting system itself. Left-sided double-J stent is seen in place. A small calculus is seen in the left renal pelvis. No ureteric stone or hydroureteronephrosis is seen. Poor contrast excretion is noted by the left kidney on delayed excretory phase imaging. The right kidney is normal. Foley catheter and small amount of air/gas are seen in the smooth walled urinary bladder. Patent and well-opacified renal arteries and veins.
Mildly enlarged liver. Mild ascites, small bilateral pleural effusions with basal partial collapse/consolidation and diffuse edema in the subcutaneous soft tissues, suggestive of anasarca.