Pyelonephritis other imaging findings
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Other Imaging Findings
Contrast Nephrograms
Acute Pyelonephritis
- Acute pyelonephritis consist 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.
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.