Presentation
Abdominal pain.
Patient Data
Gender: Male
From the case:
Urinary bladder calculus
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Transverse

In first two images, there appears to be either two calculi abutting each other or a large calculus with a cleft.
On turning the patient to right / left decubitus, there is only one calculus of smaller size.
Case Discussion
Single urinary bladder calculus showing a few ultrasound artefacts: