Presentation
Right flank pain, fever and pyuria.
Patient Data
Right renal upper pole rounded lesion measuring 4 x 4.5 x 3.5 cm for the intrarenal component. It shows necrotic core and radiating thin septations as well as perifocal edema. It exerts a mass effect in the form of splaying of the upper calyx. It is continuous with a superior anterior pararenal collection extending to the liver (segment VII) measuring 3.7 x 4 x 3.5 cm with perifocal edema. Small enlarged aortocaval and left paraaortic lymph nodes are noted.
Case Discussion
The clinical data and imaging features are consistent with right renal upper pole abscess with anterior pararenal extension and hepatic extension forming abscess at segment VII. Treatment can be percutaneous drainage or a course of antibiotics.
Unable to process the form. Check for errors and try again.