Congenital megaureter

Case contributed by Huda B. Gharbia
Diagnosis almost certain

Presentation

Antenatal history of left hydronephrosis, normal MCUG, no VUR.

Patient Data

Age: 2 months
Gender: Male
mri
This study is a stack
Coronal
T2 HASTE
This study is a stack
Axial T2
HASTE
This study is a stack
Highly-T2W
MIP
This study is a stack
Coronal
STIR
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Info

There is tapering end of left ureter with severe tortuous dilated left ureter along its entire course and severe dilatation of pelvicalyceal system of left kidney.

Case Discussion

The crowded, enlarged calyces and pelvis of the kidney denote severe hydronephrosis.

Tapering end left ureter with severe proximal hydroureteronephrosis, suggestive of abnormal ureterovesicular junction narrowing or stenosis.

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