Case Presentation: A 58-year-old woman with multiple sclerosis, neurogenic bladder with indwelling catheter, and recurrent nephrolithiasis presented with worsening malaise and dizziness. Vitals signs were stable and physical exam was remarkable for baseline lower extremity weakness. Blood work identified leukocytosis (14.2 x 109/liter) and severe anemia (6.6 grams/deciliter). Urinalysis showed pyuria and calcium oxalate crystals.CT [...]

Case Presentation: Xanthogranulomatous Pyelonephritis (XGP) is an uncommon sequelae of chronic renal inflammation whose process may invade local structures.  We present a rare case of an invasive Xanthogranulomatous Pyelonephritis (XGP) extending into the thoracic cavity in a 48 year-old female presenting with chronic productive cough. This previously healthy patient presented with dyspnea, productive cough, and [...]

Case Presentation: A 75-year-old female with a history of left radical nephrectomy for renal cell carcinoma presented with one month of progressively worsening left-sided chest and back discomfort following her surgery. CT of the abdomen/pelvis revealed left-sided pleural effusion and a retroperitoneal fluid collection in the left renal fossa. The patient underwent thoracentesis with 600 [...]