27th June 2023

A 54-year-old man has recently moved to the UK from Pakistan; he presents with frequency, haematuria, and flank pain.

A 54-year-old man has recently moved to the UK from Pakistan; he presents with frequency, haematuria, and flank pain. He has been having night sweats and lost weight over the past few months. On microscopy of his urine sample, there are 30 neutrophils per high power field, and the urine culture is negative.

A diagnosis of renal tuberculosis (TB) of the urinary tract is suspected.

Which form of imaging is most sensitive in reaching this diagnosis?