EURORAD ESR

Case 14467

Emphysematous pyelitis vs emphysematous pyelonephritis

Author(s)
Astha Sijapati MD, Adel Najdi Jiad MD

Slagelse Hospital,
Radiology Department;
Ingemansvej
4200 Slagelse, Denmark;
Email:ma_astha@hotmail.com
 
Patient
female, 47 year(s)
 
 
  • Figure 1
    Ultrasound

    Ultrasound showing a central calculus (arrow) without shadowing and dilated collecting system.

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: Ultrasound; Procedure: Imaging sequences; Special Focus: Calcifications / Calculi;
     
     
  • Figure 2
    CT
     

    Coronal view showing calculus and emphysema around it. Emphysema localised in the collecting system. No involvement of renal parenchyma and perirenal fat.

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Procedure: Localisation; Special Focus: Obstruction / Occlusion;

    Axial view showing pericalyceal emphysema.

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Obstruction / Occlusion;

    Sagittal view showing calculus surrounded by emphysema.

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 3
    Control CT
     

    Post JJ-stenting showing no change in renal calculus with subtotal regression of emphysema.

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Procedure: Stents; Special Focus: Obstruction / Occlusion;

    Axial view showing stationary renal calculus along with JJ-stent.

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Procedure: Stents; Special Focus: Calcifications / Calculi;
     
     
Ultrasound showing a central calculus (arrow) without shadowing and dilated collecting system.
 
Coronal view showing calculus and emphysema around it. Emphysema localised in the collecting system. No involvement of renal parenchyma and perirenal fat.
 
Axial view showing pericalyceal emphysema.
 
Sagittal view showing calculus surrounded by emphysema.
 
Post JJ-stenting showing no change in renal calculus with subtotal regression of emphysema.
 
Axial view showing stationary renal calculus along with JJ-stent.
 
 
 
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