One of the common infections among children is urinary tract infection. To reduce the morbidity associated with UTI, it is very important to diagnose promptly and initiate correct management. Signs and symptoms vary among different age groups, as well as some clinical features are nonspecific. Hense, accurate diagnosis is challenging and which is masked further by wide use of antibiotic prior to the collection of urine for culture and full report. Use of correct antibiotic for appropriate duration is crucial in management. Ideal image protocol in subsequent follow-up is still not very clear and debatable among majority.