CT and MRI in Urinary Tract Infections: A Spectrum of Different Imaging Findings

Medicina (Kaunas). 2021 Jan 1;57(1):32. doi: 10.3390/medicina57010032.

Abstract

There are many acute and chronic infections affecting the urinary tract including bacterial, fungal and viral infections. Urinary tract infections (UTIs) can present in many different patterns with variable degrees of severity varying from asymptomatic and uncomplicated forms to life threatening complicated infections. Cross-sectional imaging techniques-including both computed tomography (CT) and magnetic resonance imaging (MRI)-have become very important tools not only for evaluation of UTIs, but also for detection of associated complications. Selection of either CT or MRI in the UTI evaluation depends on several factors such as the presence of contraindication, experience, cost and availability. CT and MRI help in early detection and management of UTIs that reduce the prevalence and severity of complications. In this article we will present the radiologic findings at CT and MRI in different types of upper and lower UTIs including acute pyelonephritis, intrarenal and perinephric abscesses, pyonephrosis, chronic pyelonephritis, emphysematous UTIs, xanthogranulomatous pyelonephritis, tuberculosis (TB), bilharziasis, fungal infection, corynebacterium infection, ureteritis, cystitis, prostatitis, prostatic abscess and urethritis.

Keywords: CT; MRI; cystitis; infection; pyelonephritis; urinary tract.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Cystitis*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Tomography, X-Ray Computed
  • Urinary Tract Infections* / diagnostic imaging
  • Urinary Tract Infections* / drug therapy

Substances

  • Anti-Bacterial Agents