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| Fig. 1: Right kidney demonstrates a swollen, hypoechoic lower pole. |
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| Fig. 2: This is even better appreciated by scanning in the prone position. |
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| Fig. 3: There is also patchy mid-kidney swelling and hypoechogenicity. |
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| Fig. 4: There is decreased flow, as shown with power doppler, in the right lower pole. |
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| Fig. 5: This is the same image with power doppler removed. |
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| Fig. 6: There is a similar finding in the upper pole. |
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| Fig. 7: Notice how it is more subtle on the grey-scale image without doppler. Dx = pyelonephritis. Subsequent VCUG showed bilateral Gr. 5 reflux. |
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15 Y/O W/ ABD PAIN, FEVER, 30K WBC