Urinary bladder stones

Case contributed by Mohammad Osama Hussein Yonso


Hypertension since 08/2022. No other associated condition. Non-Smoker / non-alcoholic / non-tobacco chewer. Family history: nonsignificant. General systemic examination: normal

Patient Data

Age: 50 years
Gender: Male

Two large and oval radio-opaque shadows are noted in the pelvis, the largest measuring about 61 x 51 mm, compatible with urinary bladder stones.

Annotated zooned view


Two large and oval radio-opaque urinary bladder stones in the pelvis, the largest measuring about 61 x 51 mm.

Case Discussion

A hypertension patient since 08/2022, came for a check-up, urine analysis showed plenty of pus cells, RBCs 8-10, leukocytes positive ++++, serum creatinine 123.1 mmol/L, urine microalbumin 71 mg/L, albumin creatinine ratio 14.18 mg/mmol.

KUB ultrasound was requested and showed:

  • bilateral moderate-severe hydroureteronephrosis, and bilateral hyperechoic renal cortex

  • urinary bladder showed two large stones measuring 40 mm & 60 mm with debris seen in the urinary bladder and distal third of the dilated ureter bilaterally

  • right side bladder diverticulum measures 2.8 x 2 cm with debris inside

Then KUB X-ray was requested to show the results above.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.