Obstructing renal calculus

Case contributed by RMH Core Conditions
Diagnosis certain

Presentation

Left loin and LIF pain.

Patient Data

Age: 75 years
Gender: Male
ct

There is a 6 mm left mid ureteric obstructing calculus with associated proximal ureteric dilatation, pyelocalyectasis and marked periureteric and perinephric fat stranding. The calculus is at the level of the L4/5 intervertebral disc.

No other renal calculi are demonstrated.

There is a large exophytic renal cortical cyst projecting from the lateral margin of the interpolar region of the left kidney.

Sigmoid diverticular disease, and a para-esophageal hiatus hernia are noted.

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