Suspicion for kidney stones.
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X ray shows multiple rounds calcific densitiies with radiolucent centers in the pelvis.
Pelvic phleboliths are normally identified on X-ray imaging for any unrelated medical indications to find any suspected complication, such as ureteric stone. Since these stones appear small in size, almost like a dot of calcification, on the image it is difficult to detect if it is in the urinary tract or the vein.
Their tendancy to be in and around the VUJ, which is a common site for a ureteric stone to lodge, at times adds to the difficulty in diagnosis on a plain radiograph.