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Acute bacterial pyelonephritis

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Five days abdominal pain and fever.

Patient Data

Age: 30 years
Gender: Female

Upper abdomen

ct

At the right renal midpole is a wedge-shaped, hypodensity with associated fat stranding. No hydronephrosis. Liver, gallbladder, spleen, adrenal glands, left kidney and pancreas all have a normal appearance. Appendix is normal. Bowel is unremarkable. No free fluid or free gas. Prominent para- aortic lymph nodes. Lung bases are clear. No suspicious bone lesion.

Case Discussion

This case demonstrates typical CT appearance of acute pyelonephritis, which is on the right. Urine culture grew E. Coli

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