Abdominal calcifications

Case contributed by Dr Varun Babu


Right-sided abdominal pain

Patient Data

Age: 50 years
Gender: Male
  • 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 the bilateral ilium. 

Annotated abdominal radiograph

Green arrows pointing to the right hypochondrium and right lumbar radiodensities.

  • confirms multiple gall stones. 
  • a calculus identified in the lower pole calyx of the 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 the detection of right-sided hydroureteronephrosis to assess ureteric calculi. 

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