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The left kidney is somewhat swollen, enhances less than the right, and demonstrates extensive surrounding stranding. Although the collecting system is a little prominent, with enhancing mucosa, no ureterolithiasis can be identified (a few pelvic phleboliths can be seen to be separate from the ureter on the MPR of the thin slices - not shown). No abscess is identified, although both kidneys demonstrate cortical scars, presumably related to prior (paediatric) reflux.