Bilateral flank pain, mild fever and burning micturation.
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Diffusely hypoechoic and thickened cortex with compressed renal sinuses.
In view of history and findings on ultrasonography, diagnosis of acute pyelonephritis is suggested. Ultrasonography may not pick up any changes in many cases of pyelonephritis but may sometime help to clinch the diagnosis in appropriate clinical setting.
It may also identify associated complications like a renal abscess or a likely contributory cause, such as a renal stone.