File:Chronic pelviureteric junction obstruction (Radiopaedia 90643-108052 A 44).jpg

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Summary:

Description	Radiopaedia case ID: 90643 Image ID: 55279230 Image stack position: 44/97 Plane projection: Axial Aux modality: C+ portal venous phase Modality: CT System: Urogenital Findings: Findings: Severe right sided hydronephrosis, with a transition point at the pelviuretericjunction is grossly stable. There is cortical atrophy consistent with longstranding obstruction with marked right sided perinephric fat stranding whichhas progressed since prior studies suggesting either urine leak or fatstranding secondary to superadded right sided upper renal tract infection. Thereare no calculi detected. The fat stranding extends into the rightretroperitoneum inferiorly with no peripherally enhancing collection orabdominal free fluid. Conclusion: Severe right sided hydronephrosis with a transition point at the pelviureteric junction consistent with long standing pelviureteric obstruction. Perinephric fat stranding on the right with associated right sided upper renal tract urothelial thickening and hyperenhancement is most in keeping with superadded infection. Urine leak due to perforation is a less likely cause of the progression of fat stranding.
Date	Published: 24th Jun 2021
Source	https://radiopaedia.org/cases/chronic-pelviureteric-junction-obstruction-2
Author	Pranav Sharma
Permission (Permission-reusing-text)	http://creativecommons.org/licenses/by-nc-sa/3.0/

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	Date/Time	Thumbnail	Dimensions	User	Comment
current	05:28, 23 August 2021		708 × 708 (127 KB)	Fæ (talk \| contribs)	Radiopaedia project rID:90643 (batch #8134-44 A44)

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