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Abdominal ultrasound scan from an 8-year-old castrated domestic shorthair cat that presented with acute lethargy, anorexia and severe azotemia. The image shows renomegaly (length 5.6 cm) and pyelectasia. Although mineral foci were present in both kidneys, no evidence of obstruction was found. Escherichia coli and Enterococcus species were isolated on urine culture and the patient was diagnosed with pyelonephritis
