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85 (95% CI 1.62, 9.14) higher than in children without VUR. Recurrent UTI was 2.57 (95% CI 1.01, 6.55) times more likely in children with cecal diameter 3.10 cm than children with lower cecal diameters; time to first recurrent UTI was shorter in children with elevated cecal diameters (p = 0.0023). Cecal diameter on abdominal radiographs predicts UTI recurrence in children with a previous UTI. However, its accuracy is suboptimal to serve as a screening test. Accordingly, its routine use for this indication is not supported. If cecal diameter on an AR or
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