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Twinkling and color comet tail artifacts

Case contributed by Ayush Goel
Diagnosis certain

Presentation

Bilateral flank pain

Patient Data

Age: 65 years
Gender: Male

Ultrasound showed bilateral mild pelvicalyceal and proximal ureteric dilatation due to bilateral proximal ureteric calculi (right 7 mm, left 8 mm). Twinkling and color comet tail artifacts are present.

Case Discussion

Images show twinkling and color comet tail artifacts due to ureteric calculus.

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