Acute bacterial pyelonephritis
Five days abdominal pain and fever.
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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.
This case demonstrates typical CT appearance of acute pyelonephritis, which is on the right. Urine culture grew E. Coli.