Mild prominence of the collecting system on the left. Both kidneys enhance normally with no surrounding stranding. Both ureters show peripheral wall enhancement, most pronounced in the proximal left ureter.
The bladder is thick-walled and also demonstrates peripheral enhancement. No evidence of obstruction. No associated fat stranding.
Liver, spleen, adrenal glands, pancreas, right kidney and gallbladder all have a normal appearance. The appendix is visualised and is of a normal appearance. Aside from colonic faecal loading the bowel is unremarkable. No free fluid or free gas.
Conclusion:
Ureteritis and cystitis. Mild prominence of the renal pelvis on the left, without evidence of definite obstruction or established lobar nephronia or renal abscess.