Acute bilateral pyelonephritis
Presentation
A young woman presenting with fever, chills and abdominal pain.
Patient Data
Age: 20 years
Gender: Female
From the case:
Acute bilateral pyelonephritis
CT
Loading images...
Axial non-contrast
Multiple hypoenhancing areas in both kidneys, giving striated nephrogram appearance. The hyperenhancing regions involve the cortical rim, a feature differentiating them from acute cortical necrosis (rim sign). Also, note the perinephric fat stranding.
Case Discussion
Acute pyelonephritis generally involves a single kidney. Bilateral involvement is uncommon and presents with more severe symptoms.
Unable to process the form. Check for errors and try again.