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Ureteric calculus

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Right sided abdominal / loin pain.

Patient Data

Age: 60 years
Gender: Male

CT KUB

ct

Non-contrast CT obtained with the patient prone, demonstrates a 4mm calculus in the right ureter at the level of the L3/4 disc. It is associated with mild hydronephrosis and extensive peri-ureteric and peri-renal stranding. 

At the upper pole of the right kidney is what presumably represents a simple cyst. 

The left kidney has a number of small calculi. 

Case Discussion

This patient went on to pass the stone spontaneously, without additional imaging.

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