Presentation
Abdominal pain and fever.
Patient Data
Age: 13 years
Gender: Female
From the case:
Pyelonephritis in a solitary kidney
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portal venous phase"}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"henryknipe","case_id":41733,"case_key_image_id":null,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
Solitary enlarged left kidney. There is a focal wedge-shaped area of cortical hypoattenuation in the left interpolar region. Surrounding fat stranding and enlarged left para-aortic lymph nodes. There is a tiny right renal bud seen but a right ureter is present. Hepatic flexure fills the renal bed. No other genitourinary tract anomaly identified.
Case Discussion
Renal agenesis is not uncommon, with an incidence estimated at 1 in 1000. There are many associations of renal agenesis and these should be sought out on imaging studies.
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