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Pyonephrosis

Gould CFG - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Pyonephrosis

History: 5 m/o white male with a four day history of fever and fatigue.

Findings: Sagittal sonographic images of the kidneys: The right kidney measures 7.04 cm on the long axis and is normal in shape and architecture without evidence of hydronephrosis. The left kidney measures 10.5 cm on the long axis. Moderate hydronephrosis is demonstrated, as evidenced by enlargement and blunting of the calyces. Within the pelvis, there is dependently layering homogeneous echogenicity, consistent with infectious debris. The left ureter is not visualized on this examination. No perinephric fluid collections are demonstrated.

Ddx: Characteristic sonographic appearance.

Dxhow: Characteristic imaging findings combined with laboratory analysis.

Exam: Temp: 102.0, otherwise unremarkable physical exam. WBC: 19.2K UA: Cloudy, (+) blood, (+) leukocyte esterase, WBC: >200 cells/hpf. Urine Culture: (+) E. coli growth.

No MeSH data available.


The right kidney measures 7.04 cm on the long axis and is normal in shape and architecture without evidence of hydronephrosis.
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MPX2561_synpic48488: The right kidney measures 7.04 cm on the long axis and is normal in shape and architecture without evidence of hydronephrosis.


Pyonephrosis

Gould CFG - MedPix (2009)

The right kidney measures 7.04 cm on the long axis and is normal in shape and architecture without evidence of hydronephrosis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2561&req=5

MPX2561_synpic48488: The right kidney measures 7.04 cm on the long axis and is normal in shape and architecture without evidence of hydronephrosis.

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Pyonephrosis

History: 5 m/o white male with a four day history of fever and fatigue.

Findings: Sagittal sonographic images of the kidneys: The right kidney measures 7.04 cm on the long axis and is normal in shape and architecture without evidence of hydronephrosis. The left kidney measures 10.5 cm on the long axis. Moderate hydronephrosis is demonstrated, as evidenced by enlargement and blunting of the calyces. Within the pelvis, there is dependently layering homogeneous echogenicity, consistent with infectious debris. The left ureter is not visualized on this examination. No perinephric fluid collections are demonstrated.

Ddx: Characteristic sonographic appearance.

Dxhow: Characteristic imaging findings combined with laboratory analysis.

Exam: Temp: 102.0, otherwise unremarkable physical exam. WBC: 19.2K UA: Cloudy, (+) blood, (+) leukocyte esterase, WBC: >200 cells/hpf. Urine Culture: (+) E. coli growth.

No MeSH data available.