10/4/22, 1:01 PM Bear's paw sign - UpToDate

Official reprint from UpToDate®

www.uptodate.com © 2022 UpToDate, Inc. and/or its affiliates. All Rights Reserved.

Bear's paw sign of xanthogranulomatous pyeloneprhitis

Contrast-enhanced computed tomography scan showing an enlarged (12.2 cm × 9.1 cm) left kidney (arrows)
with dilated renal pelvis and calyces and a multiloculated appearance. Such an image, which has been
compared with the toe pads of a bear's paw, is considered typical of xanthogranulomatous pyelonephritis.

Reproduced with permission from: Garrido-Abad P, Rodríguez-Cabello MÁ, Vera-Berón R, Platas-Sancho A. Bear Paw Sign:
Xanthogranulomatous Pyelonephritis. J Radiol Case Rep 2018; 12:18. Copyright © 2018 EduRad Publishing.

https://www.uptodate.com/contents/image/print?imageKey=ID%2F120351&topicKey=8058&search=xanthogranulomatous pyelonephritis&rank=1~10&source=GraphicModalSidebar 1/2

10/4/22, 1:01 PM Bear's paw sign - UpToDate

Graphic 120351 Version 1.0

https://www.uptodate.com/contents/image/print?imageKey=ID%2F120351&topicKey=8058&search=xanthogranulomatous pyelonephritis&rank=1~10&source=GraphicModalSidebar 2/2