55 year old diabetic male with 2-week history of gross hematuria.
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Foci of air conforming to the renal calyces in this diabetic patient with hematuria is compatible with emphysematous pyelitis
Foci of air which conform to the renal calyces in this diabetic patient with hematuria is compatible with emphysematous pyelitis. The lack of intraparenchymal air distinguishes this entity from emphysematous pyelonephritis, which carries a more grave prognosis and often requires surgical management. Calculi have been reported in association with emphysematous pyelitis as is seen in this patient.