Demographics:
44 years old, Female
Indication:
Abdominal pain, fever
Findings
Lower chest
- Small hiatal hernia with mild mural thickening of the lower thoracic esophagus
- Partially imaged ICD leads in the right atrium, right ventricle, and coronary sinus
Abdomen/Pelvis
- Geographic areas of hypoenhancement in the upper pole and interpolar region of the left kidney
- No hydronephrosis
- Mild mural thickening of the distal duodenum and proximal jejunum with adjacent mesenteric fat stranding
- Subcentimeter hypoattenuating lesion in the hepatic dome, which is too small to characterize
- Cholecystectomy
- Incidental splenule
- Appendix not identified (patient had a history of appendectomy)
- Mild atherosclerotic calcification of the abdominal aorta and branch vessels
- Renal arteries and veins are patent bilaterally
MSK
- No acute findings
- Bilateral L5 pars defects with slight anterolisthesis of L5 on S1
Diagnosis
Pyelonephritis
Sample Report
Findings concerning for left pyelonephritis. No hydronephrosis or evidence of renal/perinephric abscess.
Mild wall thickening of the distal duodenum and proximal jejunum with adjacent fat stranding, which may represent a mild enteritis.
Small hiatal hernia with mural thickening of the lower thoracic esophagus, which may relate to reflux esophagitis.
Discussion