Preschooler with emesis

CT of reflux nephropathy and VCUG of vesicoureteral reflux
Coronal CT with contrast of the abdomen (left) shows a normal appearing left kidney and a shrunken right kidney with diffuse loss of renal parenchyma and scarring. AP image from a voiding cystourethrogram (right) shows left grade II vesicoureteral reflux and right grade IV vesicoureteral reflux.

The diagnosis was bilateral vesicoureteral reflux resulting in right reflux nephropathy.