Presentation
Right flank pain, fever and leukocytosis.
Patient Data
Age: 35 years
Gender: Female
From the case:
Emphysematous pyelonephritis
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Extensive gas overlying the renal parenchyma, collecting system, and perinephric tissues on the right side. Additional linear gas shadows along the paraspinal region, representing retroperitoneal air.
Case Discussion
The findings of the abdominal x-ray are compatible with emphysematous pyelonephritis and retroperitoneal free gas.