Soft tissue rim sign - ureteric stone

Case contributed by Andrew Dixon , 3 Aug 2012

Diagnosis certain

Changed by Henry Knipe, 7 Nov 2018

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Bilateral calcific densities near the vesicoureteric junctions. Right calcific density (red arrow) is completely surrounded by a soft tissue density rim consistent with a ureteric stone surrounded by an oedematous ureter wall (soft tissue rim sign). The left calcific density (green arrow) cannot be a ureteric stone as it is completely surrounded by fat density and it is therefore a phlebolith.

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Soft tissue rim sign - ureteric stone

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