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previously visited 15 Y/O W/ ABD PAIN, FEVER, 30K WBC Random Case
Authored By: Alexi Phinney, Radiologist, Virginia Mason Medical Center, Washington, USA.
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Fig. 1: Right kidney demonstrates a swollen, hypoechoic lower pole.

Fig. 2: This is even better appreciated by scanning in the prone position.

Fig. 3: There is also patchy mid-kidney swelling and hypoechogenicity.

Fig. 4: There is decreased flow, as shown with power doppler, in the right lower pole.

Fig. 5: This is the same image with power doppler removed.

Fig. 6: There is a similar finding in the upper pole.

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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Case Number: 4596Last Updated: 08-20-2001
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Anatomy: Other   Pathology: Other
Modality: USAccess Level: Readable by all users
Keywords: unknown
Case has been viewed 1065 times.

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