case_images: PMC2639571_01
case_images: Sagittal gray-scale ultrasound scan of both kidneys obtained before intervention shows numerous cystic space-occupying lesions with marked internal echogenic debris and thick septa representing the numerous infected cysts.
case_images: 1757-1626-2-66-1.jpg
case_images: PMC2639571_01_1757-1626-2-66-1.jpg
case_images: F1
case_images: Further US investigation on the 12th day, showed numerous cystic space-occupying lesions with low level internal echoes, septations, and increased wall thickness of the cysts that representing infected cysts (Fig. 1).
case_images: Axial CT scan of both kidneys without contrast demonstrates the nephrostomy catheter which was in the right kidney for further irrigation and drainage of the remaining pyocysts.
case_images: 1757-1626-2-66-2.jpg
case_images: PMC2639571_01_1757-1626-2-66-2.jpg
case_images: F2
case_images: Forty-eight hours later, the same procedure was repeated for the largest cyst (8 cm in diameter) of the right kidney (Fig. 2); however, the patient showed no improvement.
case_images: Sagittal gray-scale ultrasound scan of right kidney obtained after repeated irrigation and drainage demonstrates decreasing amount of internal echoes and septa in the cysts.
case_images: 1757-1626-2-66-3.jpg
case_images: PMC2639571_01_1757-1626-2-66-3.jpg
case_images: F3
case_images: Repeated US showed decreasing amount of internal echoes and thick septa of the drained cysts (Fig. 3).