Presentation
Left iliac fossa abdominal pains radiating to the renal angle.
Patient Data
Age: 35 years
Gender: Male
From the case:
Pyelolithiasis
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The left kidney shows a solitary small-sized (1.82 x 0.81 cm) hyperechoic and posteriorly shadowing calcific focus centrally located within the ipsilateral left renal pelvis. The focus demonstrates a positive twinkling artefact on color Doppler interrogation and mild calyectasis ipsilaterally.
Case Discussion
Posteriorly shadowing calcific focus (calculus) with a positive twinkling artefact centrally located within the left renal pelvis results in mild calyectasis, suggesting partially obstructive small solitary pyelolithiasis.
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