Pyelonephritis other imaging findings: Difference between revisions
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*The infected kidney is usually enlarged, and there is often stranding in the [[perinephric fat]]. | *The infected kidney is usually enlarged, and there is often stranding in the [[perinephric fat]]. | ||
*Delayed views of the infected kidney may demonstrate a nephrogram with increased attenuation. | *Delayed views of the infected kidney may demonstrate a nephrogram with increased attenuation. | ||
====Intravenous Pyelography==== | |||
Intravenous Pyelography (IVP) is done to diagnose an intra-renal or peri-nephric abscesses. IVP is a very sensitive radiological test for this purpose.<ref name="pmid6992728">{{cite journal| author=Hoverman IV, Gentry LO, Jones DW, Guerriero WG| title=Intrarenal abscess. Report of 14 cases. | journal=Arch Intern Med | year= 1980 | volume= 140 | issue= 7 | pages= 914-6 | pmid=6992728 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6992728 }} </ref> | |||
===Urography=== | ===Urography=== | ||
====Xanthogranulomatous Pyelonephritis==== | ====Xanthogranulomatous Pyelonephritis==== |
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Other Imaging Findings
Contrast Nephrograms
Acute Pyelonephritis
- Acute pyelonephritis consists of focal areas of striated or wedge-shaped hypoperfusion, resulting in a characteristic striated nephrogram.
- Striations result from stasis of contrast material within edematous tubules that demonstrates increasing attenuation over time.
- The infected kidney is usually enlarged, and there is often stranding in the perinephric fat.
- Delayed views of the infected kidney may demonstrate a nephrogram with increased attenuation.
Intravenous Pyelography
Intravenous Pyelography (IVP) is done to diagnose an intra-renal or peri-nephric abscesses. IVP is a very sensitive radiological test for this purpose.[1]
Urography
Xanthogranulomatous Pyelonephritis
- Classic urographic triad in diffuse xanthogranulomatous pyelonephritis consists of unilaterally decreased or (more commonly) absent renal excretion, a staghorn calculus, and a poorly defined mass or diffuse renal enlargement.
References
- ↑ Hoverman IV, Gentry LO, Jones DW, Guerriero WG (1980). "Intrarenal abscess. Report of 14 cases". Arch Intern Med. 140 (7): 914–6. PMID 6992728.