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(A) Coronal computed tomography (CT) image at presentation showing perinephric and perisplenic collection with “bear's paw” sign of the left kidney. (B) Axial CT image after percutaneous drainage with nonresolution of perinephric collection. (C) DMSA renal scan shows poor tracer uptake in left kidney consistent with poor function. DMSA, dimercaptosuccinic acid.
