Abdominal calcifications

Case contributed by Dr Varun Babu

Presentation

Right sided abdominal pain

Patient Data

Age: 50 years
Gender: Male
X-ray

Abdomen frontal radiograph

  • fairly well defined radiodensity seen in right hypochondrium above right 12th rib in the midclavicular line. 
  • small well defined radiodensity seen in right lumbar region opposite right tranverse process of L3 vertebra. 
  • normal bowel gas shadows
  • normal psoas outline
  • normal renal outline 
  • normal properitoneal fat planes
  • visualized bones unremarkable apart from mild degenerative changes in bilateral ilium. 
Annotated image

Annotated abdominal radiograph

annotated images as described. 

CT

Plain CT KUB

  • confirms multiple gall stones. 
  • a calculus identified in lower pole calyx of right kidney. 
  • right hydroureteronephrosis with a right VUJ calculus. 

Case Discussion

A proper approach to abdominal calcifications is important to delineate and diagnose common pathologies encountered. In this case, the radiograph sufficed to come to a diagnosis. CT was done following detection of right sided hydroureteronephrosis to assess ureteric calculi. 

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Case information

rID: 46837
Case created: 19th Jul 2016
Last edited: 30th May 2017
Inclusion in quiz mode: Included

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