Question: hi, i have been in hospital with kidney infection, my regular dr think its not a kidney infection, here is what the CT scan reads: However, there is mild heterogeneous perfusion in the cortex of the lower pole of the left kidney (series 4, image 18). No definite perfusion abnormalities detected on the right side. There is no perinephric fluid collection. Is my dr right for cause for concern- look forward to your reply. thanks! also my urine and blood work all showed normal results: But my regualr thinks these could be normal because all the antibiotics im on. I was in hosp for 4 days , been out 4 and still feel unwell and terrible back pain ? WBC 4.0 - 10.0 THOU/CU MM 8.0 RBC 3.90 - 5.25 M/UL 3.87 HEMOGLOBIN 12.0 - 15.0 GM/DL 12.4 HCT 36.0 - 45.0 % 37.0 MCV 81.0 - 99.0 CU MICRONS 95.6 MCH 27.0 - 33.0 UUG 32.2 MCHC 32.5 - 36.5 % 33.7 RDW 11.6 - 14.8 % 11.9 PLATELET COUNT 150 - 400 THOU/CU MM 234 LYMPH% 12.0 - 40.0 % 46.4 MONO% 4.0 - 12.0 % 5.5 NEUT% 40.0 - 74.0 % 43.5 EOSIN% 0.0 - 8.0 % 4.1 BASO% 0.0 - 2.0 % 0.5 ABSOLUTE LYMPH 1.0 - 4.0 THOU/CU MM 3.7 ABSOLUTE MONO 0.1 - 0.7 THOU/CU MM 0.4 ABSOLUTE NEUT 1.5 - 8.0 THOU/CU MM 3.5 ABSOLUTE EOS 0.0 - 0.6 THOU/CU MM 0.3 ABSOLUTE BASO 0.0 - 0.2 THOU/CU MM 0.0 The hosp did not culture this urine test, they threw it out! other cultures were fine. MUCOUS THREADS NOT SIGNIFICANT 2+ SQUAMOUS EPI 4+ HYALINE CASTS 0-1 BACTERIA NEGATIVE 2+ WBC, URINE 0 - 5 /HPF 6-10 RBC 0 - 4 /HPF 0-4 COLOR YELLOW APPEARANCE CLEAR SPECIFIC GRAVITY 1.005 - 1.030 1.020 PH 5.0 - 8.0 7.5 PROTEIN NEGATIVE 2+ GLUCOSE NEGATIVE GM/DL NEGATIVE KETONES NEGATIVE 5 BILIRUBIN, URINE NEGATIVE NEGATIVE BLOOD NEGATIVE NEGATIVE NITRITE NEGATIVE NEGATIVE UROBILINOGEN 0.1 - 1.0 EU 0.2 LEUKOCYTE ESTERASE NEGATIVE NEGATIVE

Hi thanks, I am on a 14 day of antibiotics yes, but the hospital did say I had pyelonephritis based on the Ct report, here is the full report. Please let me know if you think this case warrants seeing a Urologist, as a follow up. My PCP seems to think something else is going on, and not just a normal pyelo infection...please advise Thanks "There is symmetric excretion on the delayed imaging. However, there is mild heterogeneous perfusion in the cortex of the lower pole of the left kidney (series 4, image 18). No definite perfusion abnormalities detected on the right side. There is no perinephric fluid collection. The bladder is within normal limits.- IMPRESSION: 1. Heterogeneous enhancement at the lower pole of the left kidney, suspicious for pyelonephritis in the proper clinical setting. No evidence of abscess or obstruction.