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Renal pelvis calculus

Case contributed by Shervin Sharifkashani
Diagnosis certain

Presentation

Left flank pain, frequency, and dysuria for one week.

Patient Data

Age: 35 years
Gender: Male
ct

A large calculus with coronal height up to 14 mm in left kidney pelvis with upstream hydronephrosis and enlarged kidney is seen.
A calculus up to 2 mm in right kidney upper pole and another calculus up to 1-1.5 mm in left kidney middle pole calyx are also seen.
Small calcified focus on the right side of the prostate and distended bladder are seen.

Case Discussion

The case illustrates the non-contrast MDCT features of the renal pelvis calculus with upstream hydronephrosis which in chronic and recurrent cases can lead to chronic kidney disease.

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