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Enlargement of left kidney, with destruction of the upper parenchyma. Renal and peri-renal fluid collections containing bubbly streaks of gas are also seen, as well as adjacent fat stranding and local reactive lymph nodes, configuring a case of type 2 emphysematous pyelonephritis.
Additional findings include protective ileostomy (history of rectal cancer), left pleural effusion and accessory spleen. Residual contrast media is present in the colon following previous barium enema.