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Large BMI. Uncooperative patient. Ultrasound technically challenging. CT undertaken.
Multiple focal low attenuation areas in the right kidney, suggestive of a pyelonephritis and a subcapsular collection, with maximum depth of 3.5cm.
Poor venous access, resulted in a sub-optimal contrast enhanced scan - diagnostic discussion if subcapsular or perinephric collection.
Mass effect from the collection, giving rise to a Page kidney.