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Acute lobar nephronia (acute focal bacterial nephritis) has recently been recognized
as an infectious process of the kidney. It is a radiologic diagnosis characterized
as a nonliquifiable inflammatory renal mass associated with signs and symptoms of
bacterial pyelonephritis. We present the successful management of a renal allograft
recipient who had radiologic evidence of acute lobar nephronia within the graft six
weeks after placement of an internalized ureteral stent.