Female 20 years old Reason: Right renal abscess or Right ovarian septic thrombophlebitis History: septic, recurrent fevers despite source control, Right- pyelonephritis, c/f abscess, also for pelvic septic thrombophlebitis ABDOMEN:LIVER, BILIARY TRACT: Liver is enlarged measuring 20 cm in craniocaudal dimension. No biliary ductal dilatation. Gallbladder is decompressed by a cholecystostomy tube.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Kidneys are heterogeneous and enlarged bilaterally with multiple striations with areas of restricted diffusion. There are small cortically-based T2 hyperintense foci, which are triangular in shape. Differential considerations for these small lesions include small complex cysts vs. small microabscesses their configuration and signal favors areas of microabscess formation. No drainable fluid collections or perinephric drainable fluid collections. There is inflammation surrounding both kidneys that extends into the retroperitoneum.RETROPERITONEUM, LYMPH NODES: No specific evidence of gonadal vein thrombosis. The left gonadal vein is normal in caliber. Right gonadal vein is partially obscured by the inflammation surrounding the right ureter.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Body wall anasarcaOTHER: No significant abnormality noted.
1.Findings compatible with bilateral pyelonephritis with probable small cortical microabscesses. No drainable abscess or fluid collections.2.No hydronephrosis or obstruction.3.No specific evidence for thrombophlebitis of the gonadal veins as they are normal in caliber. The right gonadal vein is partially obscured by the inflammation in the retroperitoneum surrounding the right ureter.