Complicated pyelonephritis, splenosis

Discussion:

Complicated right pyelonephritis with developing microabscesses, not suitable for drainage. The patient has a history of blunt abdominal trauma (horse kick) accounting for the multiple splenules (splenosis), which manifests as several small enhancing masses in the left upper quadrant and mid/left abdominal omentum. With such a history and characteristic appearance, no further evaluation is necessary. 

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