Season 8 Case 24

Hx: Abdominal pain, fever

Season 8 Case 24

History: abdominal pain, fever


Answer: Emphysematous Pyelitis from obstructing UPJ stoneĀ 

Stone is obvious but note not only the enhancing mucosa (infection, ie pyelitis) but the air (emphysema). But it does not involve the parenchyma currently

Collecting system air - ok

Parenchymal air (emphysematous PYELONEPHRITITS) - BAD!