Middle aged fever with fever and abdominal pain diagnosed with a prior ultrasound suggestive of a renal abscess.
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Thick walled enhancing cystic mass in the mid pole of the right kidney/
RIght perinephric inflammatory change and thickening of Gerota's fascia/
Small abscesses may be treated with antibiotics only. Larger abscesses are typically treated with an image guided percutaenous drain insertion, as in this case.
Successful resolution was achieved in 36 hours following ultrasound guided percutaneous drainage.