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Case #3

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Demographics: 3 years old, Female
Indication: Fever, abdominal pain

Case #3

Findings

  • Right kidney is asymmetrically enlarged with wedge-shaped areas of increased cortical echogenicity
  • No hydronephrosis
  • Normal appearance of the left kidney
  • Urinary bladder is decompressed

Diagnosis

Pyelonephritis

Sample Report

Asymmetric enlargement of the right kidney with wedge-shaped areas of increased cortical echogenicity. This appearance is concerning for acute pyelonephritis. No hydronephrosis.

Normal appearance of the left kidney. Urinary bladder is decompressed.

Discussion

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References

  • Craig WD, Wagner BJ, Travis MD. Pyelonephritis: radiologic-pathologic review. Radiographics 2008; 28: 255-277.

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