Presentation
One week of left flank pain with fever and dysuria. 8 year history of diabetes mellitus, poorly controlled for 6 months.
Patient Data
Age: 50 years
Gender: Male
From the case:
Emphysematous pyelonephritis
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Left renal enlargement with architectural distortion. There are bubbly and linear streaks of air within renal parenchyma and perinephric space with an intrarenal fluid collection. Bilateral perinephric fat stranding and thickening of Gerota fascia noted (more in left kidney)
Case Discussion
The non-contrast CT findings in this diabetic patient with a history of fever, flank pain, leukocytosis, thrombocytopenia are consistent with emphysematous pyelonephritis. The perinephric collections and bubbly foci of air make this type 2, with a better prognosis.
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