1. Short case presentation
Dr. Abhay JR 2
Under Guidance of
Prof. Dr. Anjali Wasadikar Madam
Dept. of Radio diagnosis
BJMC, PUNE.

2. HISTORY
20 year old female came to Sassoon Hospital c/o fever,
Vomiting , pain in right lumbar region with dysuria
since 7 days.
Raised serum creatinine level

7. CT KUB

8. CT KUB

9. POSSIBILITIES THAT WERE CONSIDERED
Hydatid cyst of right kidney
Pyonephrosis

10. Pyonephrosis
Pyonphrosis is infection of kidney which leads to pus in upper collecting system which can progess to obstruction.
Clinical features
Fever,flank pain
ON USG
Dilatation of pelvicalyceal system
Echogenic debris in collecting system
Fluid-fluid level and dirty echoes in collecting system.

11. pyonehrosis On CT Findings Thickening of renal pelvic wall(> 2mm)
Perinephric fat stranding
Dilatation and obstruction of collecting system
High attenuation of collecting system

12. HYDATID DISEASE