Xanthogranulomatous pyelonephritis
Diagnosis almost certain
Disclosures
- updated 14 May 2023:
Nothing to disclose
Updates to Study Attributes
Findings
was changed:
CT scan demonstrates:
-
right kidney:
enlarged with a distorted renal outline
dilated multiloculated calyces giving the appearance of a paw print of a bear "bear's paw sign"
contracted renal pelvis containing stone with a thick enhanced wall (pyelitis) as well as small stones in the middle calyx
perinephric abscess formation with thickening of Gerota's fascia.
no significant excretion on the CT urogram
-
left kidney
enlarged with hydroureteronephrosis
No renal or ureteric stone
Thethe urinary bladder is small and contracted with a thick enhanced pseudo-diverticular wall, containing three large stones.L2 vertebral body fracture stabilised by transpedicular screw fixation
Images Changes:
Image CT (non-contrast) ( update )
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Image CT (C+ portal venous phase) ( update )
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Image CT (renal excretory phase) ( update )
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Image CT (3D-VR) ( update )
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Image CT (renal excretory phase) ( update )
Stack
changed from 64119136 to 64119146.
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