Role of CT and ultrasound in diagnosis and management of renal and perirenal inflammatory diseases

Thirty patients with urosepsis and renal or perirenal infections were evaluated with both computed tomography and Ultrasonography. The results were identical in twenty patients. In the remaining ten cases, Ultrasonography was falsely negative in five cases, underestimated the extent of the disease in the three cases, also the extent of gaseous collection in one case of renal abscess and in another case of emphysematous pyelonephritis were better evaluated by compared tomography than Ultrasonography. From this study, we conclude that CT is more sensitive in the detection of acute renal inflammatory disease, for definition of extent of disease and helps planning of treatment