Issue: May 15, 2008
Case:Abdominal, Pelvis, & Genitourinary Cases
Taken from
Challenger Acute Care Radiology
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Question:
This is an interesting case of a
45-year-old female presenting with fever, shaking chills, and unilateral
flank pain. She complained of urgency, frequency, and dysuria. On percussion,
she had left-sided costovertebral angle tenderness. The preliminary bedside
diagnosis was pyelonephritis. A catheterized urinalysis showed minimal cellular
elements with an occasional white cell and occasional bacteria. This was in marked
contrast to the clinical impression of pyelonephritis. This prompted renal imaging.
Indicate one or more of the findings on the non-contrasted CTs of this patient.
- A mass of the left kidney.
- The CTs are normal.
- A calculus in the left proximal ureter.
- A distended left renal pelvis.
Answer:
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