Suspected Pyelonephritis

Symptom

suspected pyelonephritis

Considerations

• In the healthy, "uncomplicated" patient no imaging may be initially necessary. In patients with diabetes or immunocompromised, history of stones or prior renal surgery or not responding to therapy, imaging with CT or US may be important
• IVP, nuclear renal scan, KUB or even MRI usually not first line imaging although may be useful subsequently. MRI may be useful in pregnancy though.

Recommended tests

• CT abdomen and pelvis with IV contrast
• CT abdomen and pelvis without IV or oral contrast
• MRI abdomen with gadolinium
• US kidneys

For other considerations, call or text the radiologist.