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Surgery General c16e023e

Patient presenting with marked loin pain, tenderness and pyrexia shows nonspecific findings on IVP but on US reveals a heterogeneous mass with posterior acoustic enhancement and central necrosis and internal debris. CT shows marginal enhancement with air densities within. The likely diagnosis is:

A
Emphysematous pyelonephritis
B
Pyonephrosis
C
Renal abscess
D
Acute pyelonephritis
High-Yield Explanation
Renal abscess Presence of air, rim enhancement on CT and posterio acoustic enhancement in a focal mass with acute clinical history is suggestive of an abscess.

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