Distal ureteric tumor

Case contributed by Jeremy Jones
Diagnosis almost certain

Presentation

Right sided loin pain. Ultrasound confirmed hydronephrosis.

Patient Data

Age: 35 years
Gender: Female
ct

The combined nephrogram/excretory phase CT urogram demonstrates a limited nephrogram on the right with hydronephrosis, hydroureter and a soft tissue mass at the VUJ.

Case Discussion

The initial ultrasound and non-contrast CT confirmed hydronephrosis, but no evidence of obstructing stone or other renal tract calcification.

Diagnosis: transitional cell carcinoma.

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