case_images: PMC3271453_01
case_images: 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
case_images: UA-4-51-g002.jpg
case_images: PMC3271453_01_UA-4-51-g002.jpg
case_images: F1
case_images: 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].
case_images: Computerized tomography scan with contrast shows heterogeneous mass in the upper and middle part of the right kidney
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case_images: PMC3271453_01_UA-4-51-g003.jpg
case_images: F2
case_images: Thus contrast computerized tomography (CT) has been done [Figure 2].
case_images: Computerized tomography scan shows hypodense foci of left kidney suggestive of acute pyelonephritis
case_images: UA-4-51-g004.jpg
case_images: PMC3271453_01_UA-4-51-g004.jpg
case_images: F3
case_images: 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.
case_images: Voiding cystourethrography shows no vesicoureteral reflux, mild trabeculation in bladder wall and vertebral deviation against affected side can be seen
case_images: UA-4-51-g005.jpg
case_images: PMC3271453_01_UA-4-51-g005.jpg
case_images: F4