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Tuesday, July 27, 2010

Findings
The kidney is enlarged with inhomogenous echotexture and loss of corticomedullary differentiation.
Discussion
The edema associated with acute bacterial pyelonephritis causes the ultrasound findings described above. There is a differential for this ultrasonic appearance which includes other infiltrative processes. The patient’s clinical presentation added to the ultrasound findings makes the diagnosis of acute bacterial pyelonephritis.


http://eradiology.bidmc.harvard.edu/Classics/item.aspx?section=Emergency+Radiology&labelpk=33f0adab-853f-4010-a0e2-0756b3f1eac5&pk=7ac826e1-55cb-4fff-b7b3-176c3d38ff41

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