Pyonephrosis on POCUS Pyonephrosis (pus in the collecting system) + mild hydronephrosis in a septic pt. Note the echogenic debris in the hydro - can be difficult to appreciate due to acoustic enhancement from ascites. But that urine confirms the diagnosis. Abhilash Koratala MD @NephroP #Pyonephrosis #POCUS #renal #ultrasound #clinical #pus