Subtle stranding around the proximal right ureter, with subtle urothelial thickening and enhancement. No ureteric calculi, or soft tissue filling defects within the ureter. No hydronephrosis or hydroureter. A small 2 mm calcific focus within right kidney, may represent a non-obstructing caliceal calculus, or possibly focus of parenchymal calcification, no other focus of calcification within the kidneys. No significant perinephric stranding. No perinephric collection. Normal enhancement of the renal parenchyma bilaterally.
Grossly normal appearances of the unprepared large and small bowel. Normal appendix.
Both ovaries measure 4.2cm in diameter.
Small trace of free pelvic fluid immediately posterior to the uterus, with normal physiological limits. Normal urinary bladder.
No size significant lymph node enlargement in the scanned volume.
Opinion:
Minor inflammatory change centered around the right proximal ureter, suggestive of upper urinary tract infection - suggest correlation with urine dipstick and urine culture.
No CT features of pyelonephritis. No ureteric calculi.