Demographics:
11 years old, Male
Indication:
Urinary tract infection
Findings
- Loss of the normal corticomedullary differentiation in the right kidney with an ill-defined hypoechoic region in the upper pole with peripheral, but no internal vascularity on Doppler analysis
- No hydronephrosis
- Absent left kidney
- Bladder wall thickening with layering echogenic debris
Diagnosis
Pyelonephritis with possible phlegmon/abscess
Sample Report
Loss of the normal corticomedullary differentiation in the right kidney, which in the context of clinical concern for urinary tract infection raises concern for pyelonephritis. An ill-defined hypoechoic region in the upper pole with peripheral, but no internal vascularity is concerning for possible phlegmon/developing abscess. Recommend followup ultrasound following treatment to ensure resolution.
No hydronephrosis.
Absent left kidney.
Bladder wall thickening with layering echogenic debris, also likely related to urinary tract infection.
Discussion