Emphysematous pyelonephritis

Case contributed by Hidayatullah Hamidi
Diagnosis almost certain

Presentation

Diabetic patient with right flank pain.

Patient Data

Age: 50 years
Gender: Female

Subcapsular collection in lower pole of the right kidney. It measures 6 x 5.3 x 3.5 cm.

There is an ill defined, hypoattenuating area with specks of air in the upper pole of the right kidney with perirenal fat stranding.

Multiple enlarged lymph nodes in the right para-aortic and retrocaval regions.

Case Discussion

With the history of diabetes mellitus, the imaging features are suggestive of right emphysematous pyelonephritis with a subcapsular collection.

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