Case Of the Week (COW) 10 May 2015
Acute left Pyelonephritis with Renal abscess and mild left psoas enlargement
Findings
The left kidney is relatively bulky and edematous with perinephric fat stranding - reflecing acute pyelonephritis. Multiple lesions of restricted diffusion are noted predominantly in the left renal mid and lower pole - reflecting lobar nephronia /abscess. The left psoas is also relatively hyperintense. Small left paraaortic node with restricted diffusion are also noted
Discussion
This patient was a diabetic with renal failure, presenting with sepsis. This case is to highlight the value of diffusion weighted imaging in picking up foci of infection, especially in patients where IV contrast is contraindicated.
Contributed By:
Dr. S Babu Peter
Barnard Institute of Radiology, Anderson Diagnostics
Acute left Pyelonephritis with Renal abscess and mild left psoas enlargement
Findings
The left kidney is relatively bulky and edematous with perinephric fat stranding - reflecing acute pyelonephritis. Multiple lesions of restricted diffusion are noted predominantly in the left renal mid and lower pole - reflecting lobar nephronia /abscess. The left psoas is also relatively hyperintense. Small left paraaortic node with restricted diffusion are also noted
Discussion
This patient was a diabetic with renal failure, presenting with sepsis. This case is to highlight the value of diffusion weighted imaging in picking up foci of infection, especially in patients where IV contrast is contraindicated.
Contributed By:
Dr. S Babu Peter
Barnard Institute of Radiology, Anderson Diagnostics