Indication: Right flank pain
Pyelonephritis with renal abscess
Findings consistent with diffuse left pyelonephritis. A hypoechoic lesion at the junction of the upper pole and interpolar region of the left kidney measuring 2.2 x 1.9 cm is concerning for a renal abscess. Recommend followup ultrasound after treatment to ensure resolution of these findings and to better assess the renal parenchyma.
Mild fulness of the left renal pelvis and mild right hydroureteronephrosis with bilateral urothelial thickening in addition to bladder wall thickening, likely relating to urinary tract infection. No obstructing ureteral calculus identified.
Likely mild cortical scarring at the upper pole of the right kidney with adjacent calyceal enlargement, which may represent sequela of prior infection.