EURORAD ESR

Case 638

Xanthogranulomatous pyelonephritis presenting with respiratory symptoms due to nephro-pulmonary fistula

Author(s)
Dr.N. Al mokhtar FRCR , Mr.A.Evans FRCS
 
 
  • Figure 1
    case 1
     

    perirenal inflammation extending to and involving the left himidiaphragm.note the small dislodged renal stone within the pleural collection (arrow)

     
    Area of Interest: unknown; Imaging Technique: case 1;

    hypodense renal lesions representing renal collection/abscesses with significant perirenal involvement.

     
    Area of Interest: unknown; Imaging Technique: case 1;

    swelling and iflammation of the left kidney. note the multiple renal stones.

     
    Area of Interest: unknown; Imaging Technique: case 1;
     
     
  • Figure 2
    case1
     

    extensive pulmonary consolidation of the left lower lobe and minor consolidation noted in the right middle zone.

     
    Area of Interest: unknown; Imaging Technique: case1;

    extensive consolidation of left lower lobe.

     
    Area of Interest: unknown; Imaging Technique: case1;
     
     
  • Figure 3
    case1

    water soluable contrast tubogram showing filling of the left bronchial tree following contrast injection into the renal bed drainage tube.

     
    Area of Interest: unknown; Imaging Technique: case1;
     
     
  • Figure 4
    case 2

    chest radiograph showing a small opacity containing a small calcified focus in the right lower lobe

     
    Area of Interest: unknown; Imaging Technique: case 2;
     
     
  • Figure 5
    case 2
     

    right lower lobe pulmonary opacity containing a small calcified density

     
    Area of Interest: unknown; Imaging Technique: case 2;

    opacity is intimatley related to the right hemiaphragm

     
    Area of Interest: unknown; Imaging Technique: case 2;

    the inflammatory changes are seen extending into the right renal bed

     
    Area of Interest: unknown; Imaging Technique: case 2;
     
     
  • Figure 6
    case 2
     

    non contrast scan showing a staghorn calculus with marked atrophy and disruption of the right kidney with proliferation of fatty tissue. note the stretching of the inferior vena cava due to a substantial mass effect.

     
    Area of Interest: unknown; Imaging Technique: case 2;

    higher section than in fig.6a showing fatty mass and its relation to the diaphragm and the pulmonary opacity.

     
    Area of Interest: unknown; Imaging Technique: case 2;

    contrasted study showing virtually no functioning renal tissue

     
    Area of Interest: unknown; Imaging Technique: case 2;
     
     
  • Figure 7
    case 2

    abdominal radiograph showing a right staghorn calculus

     
    Area of Interest: unknown; Imaging Technique: case 2;
     
     
  • Figure 8
    case 2

    non contrast scan showing right iliopsoas abscess

     
    Area of Interest: unknown; Imaging Technique: case 2;
     
     
perirenal inflammation extending to and involving the left himidiaphragm.note the small dislodged renal stone within the pleural collection (arrow)
 
hypodense renal lesions representing renal collection/abscesses with significant perirenal involvement.
 
swelling and iflammation of the left kidney. note the multiple renal stones.
 
extensive pulmonary consolidation of the left lower lobe and minor consolidation noted in the right middle zone.
 
extensive consolidation of left lower lobe.
 
water soluable contrast tubogram showing filling of the left bronchial tree following contrast injection into the renal bed drainage tube.
 
chest radiograph showing a small opacity containing a small calcified focus in the right lower lobe
 
right lower lobe pulmonary opacity containing a small calcified density
 
opacity is intimatley related to the right hemiaphragm
 
the inflammatory changes are seen extending into the right renal bed
 
non contrast scan showing a staghorn calculus with marked atrophy and disruption of the right kidney with proliferation of fatty tissue. note the stretching of the inferior vena cava due to a substantial mass effect.
 
higher section than in fig.6a showing fatty mass and its relation to the diaphragm and the pulmonary opacity.
 
contrasted study showing virtually no functioning renal tissue
 
abdominal radiograph showing a right staghorn calculus
 
non contrast scan showing right iliopsoas abscess
 
 
 
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