Ureteric stone

Case contributed by Dr Ian Bickle

Presentation

One day history of left loin pain. Stone?

Patient Data

Age: 35 years
Gender: Male
X-ray

3 mm calcific density in the line of the left ureter at L3-L4 disc space.

No stones projected over the kidneys.

Annotated image

The mid ureteric stone is indicated by the RED arrows.

The red line shows the typical route of the ureter, and hence where to review for ureteric stones.

Case Discussion

The plain radiograph often remains the first imaging study in ureteric colic and also has a role in follow up.

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