Indication: Urinary tract infection
Pyelonephritis with possible phlegmon/abscess
Loss of the normal corticomedullary differentiation in the right kidney, which in the context of clinical concern for urinary tract infection raises concern for pyelonephritis. An ill-defined hypoechoic region in the upper pole with peripheral, but no internal vascularity is concerning for possible phlegmon/developing abscess. Recommend followup ultrasound following treatment to ensure resolution.
Absent left kidney.
Bladder wall thickening with layering echogenic debris, also likely related to urinary tract infection.