Presentation
Back pain, but no neurology.
Patient Data
Age: 45 years
Gender: Female
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Normal lumbar spine.
Right-sided staghorn calculus and a second left-sided VUJ stone.
From the case:
Staghorn calculus
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Renal stones confirmed (right staghorn and left VUJ). Marked bilateral hydronephrosis, left greater than right.
Case Discussion
The importance of looking at the periphery of the film is clear in this example. On the plain film, the staghorn calculus is clearly demonstrated (although very little is seen on the lateral film).
Marked hydroureter and hydronephrosis are seen, greater on the left. Urgent urology review was arranged.
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