Pyonephrosis CT: Difference between revisions
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==CT scan== | ==CT scan== | ||
CT scan provides anatomic details and helps in distinguishing | 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
- ↑ 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.
- ↑ 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).