Acute bilateral pyelonephritis
Patient with fever and chills, left side pain, leukocytosis with increasing creatinine. Ultrasound abdomen: fatty liver with normal kidneys.
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Enlargement of both kidneys with heterogeneous parenchymal enhancement and multiple partially confluent hypoattenuating areas with blurred margins. There is a small cortical cyst at the lower pole of the left kidney.
Marked fatty liver.
Radiographer: TSRM Fabius Imola
Acute pyelonephritis may be focal or diffuse. The pathogenesis is usually bacterial and ascending from the bladder.