A 72-year-old man with end-stage kidney disease had been on maintenance hemodialysis for 18 years and was completely anuric. He presented with a two-week history of persistent low-grade fever (37 °C). Laboratory testing showed a C-reactive protein of 9.4 mg/dL. Contrast-enhanced CT of the chest and abdomen was interpreted as showing no obvious infectious source. The bladder was not specifically commented on in the radiology report, likely because it appeared “normally” distended, a finding that would not usually raise concern, although the patient was anuric (Fig.
