Acute pyelonephritis?
Uncomplicated patient = no imaging indicated

Complicated patient such as: diabetes, immunocompromised, prior renal surgery, prior stones or not responding to therapy = CT abdomen with, and possibly without, contrast (e.g. if history of stone), possibly renal ultrasound or MRI abdomen with contrast 

As always, please refer to the source Appropriateness Criteria created by the American College of Radiology, here.

Educational purposes for licensed providers.

Note to Patients:

Radiology is a very large and ever changing field and this post is to help your provider.  When combined with a thorough history and physical exam, this information can be very useful.  Your provider is best suited to answer specific questions regarding this post.

A provider is usually a Nurse Practitioner, Physician Assistant or Medical Doctor.

Of course, this is not a substitute for medical care.

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