PMC3271453_01
At first admission, Tc99 DMSA scan shows upper part of right kidney has not taken radiotracer, left kidney shows homogenous uptake without scar or acute pyelonephritis. Technetium 99 dimercaptosuccinic acid: TC99 DMSA
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F1
Her growth indices were in normal range (weight 18 kg above +1 SDS and height 98 cm (0 to +1 SDS), her sonography showed a hypo echoic mass, technetium-99m-dimercaptosuccinic acid scan (Tc99 DMSA) failed to take radiotracer in the upper and middle part of the right kidney [Figure 1].
Computerized tomography scan with contrast shows heterogeneous mass in the upper and middle part of the right kidney
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F2
Thus contrast computerized tomography (CT) has been done [Figure 2].
Computerized tomography scan shows hypodense foci of left kidney suggestive of acute pyelonephritis
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F3
In the second admission four months later she was febrile with pyuria, her computerized renal scan showed a new episode of pyelonephritis in her normal left side; [Figure 3] which was not affected earlier, according to her previous DMSA and CT scans.
Voiding cystourethrography shows no vesicoureteral reflux, mild trabeculation in bladder wall and vertebral deviation against affected side can be seen
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F4