Presentation
Left ureteric colic.
Patient Data
Age: 45 years
Gender: Male
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- right 12th rib overlying radiodensity in the right renal region.
- two tandem radiodensity in left hemipelvis aligned along the probable course of left distal ureter.
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- solitary gall stone.
- right lower calyx stone.
- two tandem left distal ureter calculus with secondary proximal hydroureteronephrosis.
- the back pressure changes are reflected with the perinephric and periureteric fat stranding.
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- left DJ stent in situ.
- non visualization of left distal ureter calculus in this follow up study.
Case Discussion
Familiarity of reading abdominal radiographs is important as a preliminary imaging at admission along with sonogram. Obstructive uropathy warrants immediate treatment to prevent ascending upper tract infection.
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