Acute focal bacterial nephritis (AFBN), synonymous with acute lobar nephronia (ALN) of focal pyelonephritis, is an inflammatory mass without liquefaction caused by sere acute bacterial infection of kidney. Unless treated effectively, progression
to
a
renal abscess may ensue. Clinically, AFBN presents as acute pyelonephritis, and radiologically, as focal swelling or mass. The distinction between AFBN and renal abscess or even tumor may be confusing and difficult, Ultrasonography and
computerized
tomography(CT) aid in establishing the correct diagnosis. However, the appearance of AFBN on sonography and CT is by no means pathognomonic. Benign or malignant renal tumors may have a similar appearance, With the clinical history, a high index
of
suspicion, and follow-up studies after institution of medical treatment may further aid in the differentiation. Herein we report 2 cases of AFBN, which were presented as renal masses.
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