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Pyelonephritis

Sonopath Forum

Marie is a 10 1/2 year old Siamese with Azotemia, pyuria (gram negative rod- MIC still pending) and Leukocytosis. All the hallmarks of a pyelonephritis. When I saw her yesterday she had been on IV diuresis and injectable Ampicillin and Baytril.

The L kidney is small and IMO consistent with CKD (Interstitial nephritis). The R kidney is enlarged with irregular morphology and a dilated renal pelvis. The images are unmarked but the larger kidney is the R kidney.

Marie is a 10 1/2 year old Siamese with Azotemia, pyuria (gram negative rod- MIC still pending) and Leukocytosis. All the hallmarks of a pyelonephritis. When I saw her yesterday she had been on IV diuresis and injectable Ampicillin and Baytril.

The L kidney is small and IMO consistent with CKD (Interstitial nephritis). The R kidney is enlarged with irregular morphology and a dilated renal pelvis. The images are unmarked but the larger kidney is the R kidney.

I was hoping I could get the forum opinion on these kidneys. Am I missing or underestimating any othr pathology here. 

Thanks

Comments

randyhermandvm

After reading the comments on

After reading the comments on the recent Electrocute entry I also have some concern about the irregular expansion of the capsule on that R kidney.

EL

yes i agree on the capsular

yes i agree on the capsular expansion at 2 oclock position in video 1. Im a big fan of a 25g needle in these …ensure lsa isnt looking like pyelonephritis or both came to the party.