Presentation
Diabetes, flank pain.
Patient Data
Gender: Female
From the case:
Emphysematous pyelonephritis - bilateral








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Replacement of much of the right kidney with gas. Retroperitoneal and collecting system gas. Surround fluid/stranding. Small ascites. Less severe involvement of the left kidney with perinephric collections containing gas.
Case Discussion
Bilateral involvement demonstrating the variety of severity of emphysematous pyelonephritis, with diffuse cortical destruction on the right and more minor involvement on the left centred on perinephric collections.