Description

Xanthogranulomatous pyelonephritis has a number of distinctive findings on imaging studies.


Classic radiology triad:

(1) unilateral large kidney

(2) renal pelvis stone(s)

(3) nonfunctioning or poorly functioning kidney

 

The kidney may show the "bear's paw sign" (large round "pad" with multiple "toes") on cross-sectional CT images. The "toes" are loculated cystic calyxes adjacent to the enlarged kidney ("pad").


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