Early ultrasound revealed a right hydronephrosis.
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Large right PUJ stone.
Mild hydronephrosis, with lower pole calyces essentially normal, with not clubbing of the calyces.
This and a high sited kidney in an obese patient meant mid-pole pucture required, however steep cranial angulation, makes drain insertion more challenging.
8F nephrostomy inserted.
'Dirty' urine ascertained.