Ureterovesical junction calculus

Case contributed by Shervin Sharifkashani
Diagnosis certain

Presentation

Right side flank pain, frequency, and dysuria for five days.

Patient Data

Age: 15 years
Gender: Female

There is a small hyperdensity with coronal height up to 3mm in the right side ureterovesical junction (UVJ ) with upstream hydroureteronephrosis.

Minimally increased bladder wall thickness is also seen.

Case Discussion

The case illustrates the non-contrast MDCT feature of the ureterovesical junction (UVJ) calculus with hydroureteronephrosis upstream. The small calculus impacted in UVJ can be easily missed by an ultrasound exam.

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