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"CHRONIC PYELONEPHRITIS/REFLUX NEPHROPATHY"

“ Due to chronic reflux in children, a gradual process of calyceal blunting and cortical scarring (same as reflux nephropathy).  In adults,...

Due to chronic reflux in children, a gradual process of calyceal blunting and cortical scarring (same as reflux nephropathy). 
In adults, this is usually due to stones.
US/CT
•  Deep cortical scar overlying a blunted (‘ectatic’) calyx