Demographics:
46 years old, Female
Indication:
Left flank pain
Findings
Lower chest
- Mild dependent right lower lobe atelectasis
- Small pericardial effusion
Abdomen/Pelvis
- Diffuse left renal parenchymal hypoattenuation with perinephric, peripelvic, and periureteral stranding, urothelial thickening and enhancement, mild hydroureteronephrosis, and gas within the collecting system
- Patchy areas of hypoattenuation in the right kidney
- Circumferential bladder wall thickening with intraluminal gas
- Mildly enlarged left greater than right para-aortic lymph nodes at and just below the level of the renal veins, which are likely reactive
- Atherosclerotic calcification of the abdominal aorta and branch vessels without aneurysm
- Bilateral duplicated renal arteries
- Bilateral tubal ligation clips
MSK
- No acute findings
- Mild degenerative changes of the spine
Diagnosis
Emphysematous pyelitis
Pyelonephritis
Sample Report
Findings concerning for bilateral pyelonephritis and left emphysematous pyelitis. No evidence of abscess.
Mild left hydroureteronephrosis.
Bladder wall thickening suggestive of cystitis.
Discussion