Renal transplant. Question of pyelonephritis. Patient with weakness. The right iliac fossa transplant kidney measures 10 cm in length without shadowing nephrolithiasis. No peritransplant fluid collection. Color Doppler demonstrates symmetric blood flow. Note is made of a 1.3 cm simple cyst. There is mild pelviectasis.Normally distended urinary bladder.
Mild pelviectasis. No specific evidence of pyelonephritis as clinically questioned however ultrasound is very limited for making this diagnosis.