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Computed tomography findings include renal growth with wedge-shaped heterogeneous regions of decreased enhancement, referred to as a "striated nephrogram." Imaging is mainly utilized to diagnose complications such as emphysematous pyelonephritis, renal abscess, and pyonephrosis. Persistent pyelonephritis can have varying appearances on imaging including xanthogranulomatous pyelonephritis or, in extreme cases, renal replacement lipomatosis.Most