Pyonephrosis CT
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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
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