Presentation
A young woman presenting with fever, chills and abdominal pain.
Patient Data
Age: 20 years
Gender: Female
From the case:
Acute bilateral pyelonephritis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/84969/annotated_viewer_json?lang=us"}
Multiple hypoenhancing areas in both kidneys, giving striated nephrogram appearance. The hypoenhancing 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.