Emphysematous pyelonephritis

Case contributed by Dr Hidayatullah Hamidi

Presentation

Diabetic patient with right flank pain.

Patient Data

Age: 50 years
Gender: Female
CT

Subcapsular collection in lower pole of the right kidney. It measures 6 cm x 5.3 cm x 3.5 cm.

There is an ill defined, hypoattenuating area with specks of air in the upper pole of the right kidney with perirenal fat stranding.

Multiple enlarged lymph nodes in the right para-aortic and retrocaval regions.

 

Case Discussion

With the history of diabetes mellitus, the imaging features are suggestive of right emphysematous pyelonephritis with a subcapsular collection.

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Case information

rID: 74866
Published: 6th Mar 2020
Last edited: 7th Mar 2020
System: Urogenital
Inclusion in quiz mode: Included

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