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