Infant with a urinary tract infection

VCUG of posterior urethral valves
Oblique image from a voiding cystourethrogram (left) shows left vesicoureteral reflux up into a non-dilated left renal collecting system (Grade 2 vesicoureteral reflux). The posterior urethra appears dilated. Magnified lateral image of the urethra (right) shows the dilation of the posterior urethra is due to a fixed narrowing in the posterior urethra.

The diagnosis was left grade II vesicoureteral reflux in a patient with posterior urethral valves.