Question 1624
{"accessible":true,"alternatives":[{"id":8086,"text":"diabetes mellitus"},{"id":8087,"text":"hypertension"},{"id":8088,"text":"sarcoidosis"},{"id":8089,"text":"tuberculosis"},{"id":8090,"text":"tuberous sclerosis"}],"archived":false,"correctAlternativeId":8086,"explanation":"\u003cp\u003eThe findings in the image include:\u003c/p\u003e\u003cul\u003e\n\u003cli\u003e\u003cp\u003eenlargement and parenchymal distortion of the left kidney\u003c/p\u003e\u003c/li\u003e\n\u003cli\u003e\u003cp\u003egas within and adjacent to the kidney\u003c/p\u003e\u003c/li\u003e\n\u003c/ul\u003e\u003cp\u003eThese are consistent with emphysematous pyelonephritis, which is strongly associated with uncontrolled diabetes mellitus.\u003c/p\u003e","id":1624,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/152/Pasted_Image_9_6_20__2_17_pm_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":41366},"imageAttributionCaseInfo":{"title":"Emphysematous pyelonephritis","contributor_name":"Pradosh Kumar Sarangi","contributor_param":"drpradosh","case_rid":41366,"case_param":"emphysematous-pyelonephritis-18"},"firstQuestionPath":"/questions/1624","nextQuestionPath":null,"relatedArticles":[],"alsoUsedIn":[{"id":621,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 621","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/621"},{"id":621,"kind":"Course","title":"2020 Virtual Conference Private Use - page 621","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/621"},{"id":683,"kind":"Course","title":"Abdominal Emergency Radiology Course - page 683","link":"https://radiopaedia.org/courses/abdominal-emergency-radiology-course-online/pages/683"},{"id":683,"kind":"Course","title":"2020 Virtual Conference Private Use - page 683","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/683"}],"stem":"\u003cp\u003eA 50-year-old patient presents with left flank pain, dysuria and fever. A non-contrast abdominal CT is performed. Which underlying condition has the strongest association with the pathology seen in the image?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1624"}],"attemptsPercentages":[{"alternativeId":"8087","percentage":1},{"alternativeId":"8088","percentage":2},{"alternativeId":"8086","percentage":86},{"alternativeId":"8090","percentage":4},{"alternativeId":"8089","percentage":8}],"promptToLogin":false,"questionManager":false,"articleId":"emphysematous-pyelonephritis"}