Pyonephrosis CT: Difference between revisions

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==CT scan==
==CT scan==
CT scan provides anatomic details and helps in distinguishing intra-renal and extra renal pathologies.
CT scan provides anatomic details and helps in distinguishing intrarenal and extrarenal pathologies.


It is difficult to distinguish hydronephrosis from pyonephrosis on CT scan.
It is difficult to distinguish hydronephrosis from pyonephrosis on a CT scan.


The indirect signs of  pyonephrosis on CT scan include:
The indirect signs of  pyonephrosis on CT scan include<ref name="pmid18587250">{{cite journal| author=Stojadinović M, Mićić S, Milovanović D| title=Ultrasonographic and computed tomography findings in renal suppurations: performance indicators and risks for diagnostic failure. | journal=Urol Int | year= 2008 | volume= 80 | issue= 4 | pages= 389-97 | pmid=18587250 | doi=10.1159/000132697 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18587250  }} </ref>:


Enlarged kidneys
Enlarged kidneys
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Perinephric fat stranding
Perinephric fat stranding


Striated nephrogram
Striated nephrogram<ref name="pmid32792123">{{cite journal| author=Zulfiqar M, Ubilla CV, Nicola R, Menias CO| title=Imaging of Renal Infections and Inflammatory Disease. | journal=Radiol Clin North Am | year= 2020 | volume= 58 | issue= 5 | pages= 909-923 | pmid=32792123 | doi=10.1016/j.rcl.2020.05.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32792123  }} </ref>


Pelvic wall thickening
Pelvic wall thickening

Revision as of 16:37, 16 October 2021

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Harsh Vardhan Chawla, M.B.B.S.[2]

CT scan

CT scan provides anatomic details and helps in distinguishing intrarenal and extrarenal pathologies.

It is difficult to distinguish hydronephrosis from pyonephrosis on a CT scan.

The indirect signs of pyonephrosis on CT scan include[1]:

Enlarged kidneys

Presence of an infected collecting system in the setting of hydronephrosis.

Perinephric fat stranding

Striated nephrogram[2]

Pelvic wall thickening

Fluid-fluid levels and gas within the collecting system can sometimes be seen

Other conditions like neoplasms

References

  1. Stojadinović M, Mićić S, Milovanović D (2008). "Ultrasonographic and computed tomography findings in renal suppurations: performance indicators and risks for diagnostic failure". Urol Int. 80 (4): 389–97. doi:10.1159/000132697. PMID 18587250.
  2. Zulfiqar M, Ubilla CV, Nicola R, Menias CO (2020). "Imaging of Renal Infections and Inflammatory Disease". Radiol Clin North Am. 58 (5): 909–923. doi:10.1016/j.rcl.2020.05.004. PMID 32792123 Check |pmid= value (help).

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