Focal pyelonephritis detected by ultrasound

Case contributed by Slobodan Torbica
Diagnosis possible

Presentation

Two day right flank pain with high fever (39.4) in pregnant women (29 week). Laboratory analysis: WBC 20,200/mm3 ; CRP 302,6. Biochemistry urinalysis: cloudy; pH 5.0; spec. gravity 1.005; protein +; nitrite +; blood +; RBC 3-5; WBC 10-30; many bacteria.

Patient Data

Age: 25 years
Gender: Female

Focal patchy echogenicity area in upper pole of the right kidney parenchyma, with loss of corticomedullary differentiation and hypoperfusion on color Doppler signal. 

Case Discussion

Ultrasound examination revealed focal pyelonephritis which was confirmed by clinical and laboratory findings.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.