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"PYONEPHROSIS"

“ Infected urine in the context of an obstructed kidney. Needs urgent drainage (i.e. nephrostomy/ureteric stent) to preserve the kidney. US ...

Infected urine in the context of an obstructed kidney. Needs urgent drainage (i.e. nephrostomy/ureteric stent) to preserve the kidney.
US

•  Hydronephrosis, collecting system filled with echogenic debris (i.e. pus)
•  Thickened urothelium may be seen

CT

•  Useful to find cause of obstruction.
•  Look for presence of gas in the pelvis (emphysematous pyelitis).
•  Hyperdense ‘urine’ (i.e. pus).